For Official Use Only Date: Session: For Official Use Only Date: Session:

Name Name
Address Address

Town/City Town/City

Postcode Postcode

Date of Birth Date of Birth

Phone Number Phone Number

Email Address Email Address

How did you hear about us? How did you hear about us?

Zombie Uprising treats the Health & Safety of all participants as a priority. Zombie Uprising treats the Health & Safety of all participants as a priority.
As with any leisure activity there are hazards and risks associated with participating in our event. As with any leisure activity there are hazards and risks associated with participating in our event.

I understand that: I understand that:

This activity is physically/mentally intense & may require extreme exertion to play. The possibility of
injury to me exists. Playing areas may be slippery & have trip hazards. Protective eyewear must be worn
at all times. Pyrotechnics omitting loud noises/bright light/smoke are used during the event. Cars are
parked in the car park at owner’s own risk. Zombie Uprising accepts no responsibility for valuables
lost/damaged at this venue.
This activity is physically/mentally intense & may require extreme exertion to play. The possibility of
injury to me exists. Playing areas may be slippery & have trip hazards. Protective eyewear must be worn
at all times. Pyrotechnics omitting loud noises/bright light/smoke are used during the event. Cars are
parked in the car park at owner’s own risk. Zombie Uprising accepts no responsibility for valuables
lost/damaged at this venue.

I confirm & agree that: I confirm & agree that:

I am physically fit & mentally able to take the strain/exertion involved in participating in this event.
I have no medical condition that would prevent me from playing. (Please inform a marshal if you use
an inhaler or any medical aid).
I am fully aware of the risk to myself & others involved in the Zombie Uprising Event & I will never under
any circumstances deliberately shoot anyone in the face, head or neck or cause harm to anyone
through excessive force. I will comply with the rules & use all equipment as instructed & not so as to
injure or hurt others.
I will obey all instructions from the event manager/marshals.
I am physically fit & mentally able to take the strain/exertion involved in participating in this event.
I have no medical condition that would prevent me from playing. (Please inform a marshal if you use
an inhaler or any medical aid).
I am fully aware of the risk to myself & others involved in the Zombie Uprising Event & I will never under
any circumstances deliberately shoot anyone in the face, head or neck or cause harm to anyone
through excessive force. I will comply with the rules & use all equipment as instructed & not so as to
injure or hurt others.
I will obey all instructions from the event manager/marshals.

I’ve read & fully understand this agreement. I am fully aware that by signing this agreement I I’ve read & fully understand this agreement. I am fully aware that by signing this agreement I
acknowledge and accept the risk of injury that this event may entail & I waive any claim that re- acknowledge and accept the risk of injury that this event may entail & I waive any claim that re-
sults from my participation. sults from my participation.

Signed: Date: Signed: Date:

Players under 16 must have this form countersigned by their parent or guardian. You will be given a Players under 16 must have this form countersigned by their parent or guardian. You will be given a
safety briefing & you should not play the game unless you fully understand what was said to you safety briefing & you should not play the game unless you fully understand what was said to you