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1495 Tonne Road, Elk Grove Village 60007



Mindmelt, and Lazer Invader 


 THE UNDERSIGNED, by his/her signature hereinafter affixed does acknowledge that any physical activities involve some element of personal risk and that, accordingly, 
in consideration for the undersigned waiving his/her claim against RECORD-A-HIT, Inc.,  and their agents, the undersigned will be allowed to participate in any of the above physical activities.


By engaging in this activity, the the undersigned acknowledges that he/she assumes the element of inherent risk and, in consideration for being allowed to engage in the activity, agrees to indemnify and hold RECORD-A-HIT, Inc., and their agents, harmless from any liability for bodily injury, property damage or wrongful death caused by participation in this activity. 

Further, the undersigned agrees to indemnify and hold RECORD-A-HIT, Inc., and their agents, harmless from any and all costs incurred including, but not limited to, actual attorney's fees that RECORD-A-HIT, Inc., and their agents, may suffer by an action or claim brought against it by anyone as a result of the undersigned's use of such facility.




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Participant -Signed                      Participant- Printed



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 Parent -Signed                         Parent- Printed