SOGO Action, LLC
Gaming and Activity Parental Consent Form
REQUIRED FOR EACH CHILD

I understand that the programs and activities offered at and by SOGO Action, LLC may involve exposure to materials, videos, and language deemed inappropriate to some children. SOGO Action, LLC will monitor, and regulate the activities of its patrons, and will try and minimize exposure to materials, videos, and language to children. However, with the nature of gaming, open-play format, and competition, there is the chance that inappropriate images, language, and content may be viewed and/or heard by a minor.

I assume the risks and hazards incident to such participation. I understand that I am responsible for determining and disclosing whether I and/or my minor child should be limited to certain game titles, activities, and/or foods.

I authorize my child to play the following titles as organized The Entertainment Software Rating Board (ESRB; http://www.esrb.org/). SOGO Action, LLC will limit the games available to play based on the parental limits checked below. 

Initial each rating system your minor child is authorized to play.


RATING CATEGORIES OF A SELECTION OF POPULAR GAMES AVAILABLE AT SOGO ACTION, LLC

Initialsoptional

I authorize my child to play the game titles contained within the ESRB "E" rating

EVERYONE

Content is generally suitable for all ages. May contain minimal cartoon, fantasy or mild violence and/or infrequent use of mild language.


Initialsoptional

I authorize my child to play the game titles contained within the ESRB "T" rating

TEEN

Content is generally suitable for ages 13 and up. May contain violence, suggestive themes, crude humor, minimal blood, simulated gambling and/or infrequent use of strong language.


Initialsoptional

I authorize my child to play the game titles contained within the ESRB "E10+" rating

EVERYONE 10+

Content is generally suitable for ages 10 and up. May contain more cartoon, fantasy or mild violence, mild language and/or minimal suggestive themes.


Initialsoptional

I authorize my child to play the game titles contained within the ESRB "M" rating

MATURE

Content is generally suitable for ages 17 and up. May contain intense violence, blood and gore, sexual content and/or strong language.


POPULAR GAMES LIST: (ADDITIONAL AVAILABLE GAME LIST UPON REQUEST)

EVERYONE: NBA 2K19, Rocket League, Monster Jam, Forza, FIFA18, Madden19, Farming Simulator, Overcooked, Unravel, Kerbal, MarioKart8, Super Mario Maker, Yoshi’s Crafted World, Beat Sabre VR

EVERYONE 10+: Lego Movie, Plants vs Zombies, NHL19, Minecraft, Burnout Paradise, Batman3, RiME, Super Bomberman, Zelda, Super Smash Bros, Astrobot VR

TEEN: Fortnight, Overwatch, Anthem, Street Fighter, Battlefront II. Halo5, Ark, Need for Speed, Sea of Thieves, Playerunknown’s Battlegrounds, Terraria, Don’t Starve, Namco Museum, Ace Combat 7 VR, Creed VR, Battlezone VR

MATURE: Call of Duty, Borderlands, Assassins Creed, Red Dead Redemption, Halo Master Chief Collection, Titanfall, Doom, Mortal Combat XL, Battlefield V, Payday 2, Gears of War0

*Available game titles change frequently. Check with SOGO Action, LLC staff for current listings.


Parent/Legal Guardian Contact Information:

First Namerequired
Last Namerequired
Emailrequired
Phone (Digits Only)required

Child Participant Information (required for each child participating in video gaming activities):

Child Nametextoptionalno save
Child DOBdateoptionalno save

CHILD PARTICIPANT

Any adult signing on behalf of a minor represents to the Released Parties that he/she is the parent or legal guardian of the minor, he/she has legal capacity and authority to act for and on behalf of the minor, and agrees to INDEMNIFY AND DEFEND the Release Parties from and against all claims or liabilities resulting from or relating to any insufficiency of the undersigned's legal capacity or authority to act for or on behalf of the minor herein.


Date: 6/12/2019

Time: 4:27 PM

ADULT / GUARDIAN Signaturerequired
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