This form is required for anyone who wishes to attend and participate in events at Novastar Gaming Center. We want to provide a safe and fun environment for all attendees. Please review this waiver, sign and date at the bottom. If you are a minor under the age of eighteen, a parent or legal guardian must also sign and date this waiver.

I, _________________________ (Participant’s Name) do hereby waive, release and forever discharge Brimstar Gaming LLC DBA Novastar Gaming Center (hereafter referred to as the “Gaming Center”), its organizers, sponsors, staff and volunteers from any and all liability for any personal injuries or property damage that may be sustained as a result of, or during, my participation in any event(s), including, but not limited to any personal injuries or property damage that I believe may have been sustained as a result of the negligence, in whole or in part, of the Gaming Center or the event location company. I further agree to indemnify the Gaming Center, its organizers, sponsors, staff and volunteers from any and all claims of any nature whatsoever, including, but not limited to, personal injury and property damage or loss resulting, in whole or in part, from of any act(s) or conduct by a any third party or parties, whether unintentional, negligent, or intentional which may occur immediately prior to, during, or immediately following any Novastar Gaming Center events.

I understand that the gaming center maintains a strict no carry-in alcohol and no drug policy and agree not to bring with me to any event or distribute at any event any alcoholic beverages or any illegal drugs. Failure to follow these rules will result in ejection from the event.

I also understand that it is Kansas state law that there will be no smoking/vaping inside the event. Smoking is allowed only in designated areas outside.

I understand and agree that any payments made to the Gaming Center either through sponsors, online payments, directly to the staff or through any other means are non-refundable. I also understand that the Gaming Center staff has the discretion to refuse admission to the event at any time. I also understand that the gaming center staff also has the right to remove any participant who does not conform to or abide by the rules or for any other reason at their sole discretion.

I understand that my equipment and property are my personal responsibility and agree to indemnify and hold harmless the Gaming Center, its organizers, sponsors, volunteers, and staff from any claims arising from the loss or damage of my personal computer, monitor, or other equipment during any event.

By executing this agreement to indemnify and hold harmless Brimstar Gaming LLC DBA Novastar Gaming Center, its organizers, sponsors, staff and volunteers; I acknowledge that I understand and accept each of the statements, waivers, releases and agreements contained in this document and by our affixing our signature(s) hereto affirm that I will abide by these policies.




Date Signed

Participant Signature


As Parent/Legal Guardian of the above signed Participant, I also agree to this waiver.

(If participant is under the age of eighteen)




Date Signed

Parent/Guardian Signature

Emergency Contact Number