Name Of Contact Person
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First Name
Last Name
Email
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Phone
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(###)
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Are You A Subscribed Member
NO
YES SPECTATOR PLAN
YES CHALLENGER PLAN
YES CHAMPION PLAN
Member Name
Name Of Person(s) We Are Celebrating*
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What Is The Celebration/Occasion? (Ex. Birthday, Graduation, Sporting Event etc.) *
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Are There Any Specific Themes? (Ex. Colors, Characters, Sportswear, Favorite Game, etc.) *
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Age Of Person(s) We Are Celebrating (ex. How Old Will The Birthday Boy/Girl Turn?) *
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Average Age Of Participants *
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Approximate Number of Participants *
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Please Choose Your Top 3 Favorite Video Games (Ex: Fortnite, NBA 2K, Madden, Roblox, UFC4, GTA, etc.) *
Are There Any Prohibited Video Game (Ex: No Mortal Kombat, No GTA, No Shooting Games, etc.)? Please List Restricted Games Or Write “None”
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Desired Date of Booking *
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MM
DD
YYYY
Secondary Date Choice If First Is Not Available? *
MM
DD
YYYY
Desired Start Time (Minimum Booking Requirements: 2-hr for travel 1-40 miles; 3-hr for travel 41-60 miles)
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Desired End Time *
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Is Your Desired Time Flexible*
Yes
No
Address Of Event *
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Is The Address Provided A Cul-De-Sac Or A “Dead-End” Road? *
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YES
NO
Please Select Any/All Additional Services You Wish To Add To Your Package (For Additional Fees)
A Member Of The Team Will Reach Out To Provide Prices For Selections
Have You Submitted The $200 Minimum Deposit? *
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Yes
I Will
Please Indicate Which Payment Method Was Used (Or Will Be Used) To Pay The Deposit. *
*
We Require 60 Ft Of Space (Preferably IN FRONT OF YOUR HOME/BUILDING Or A Large Parking Lot) To Park The Trailer. Please Ensure All Vehicles Have Been Removed ~ 60 Mins Prior To Start Of Booking. Should We Arrive And There Is Not At Least 60 Ft Of Space For The Trailer, It May Delay The Start Of Your Booking.
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I UNDERSTAND
I Understand That Full Payment Is Due Prior To The Start Of the Booking. No Refunds Will Be Issued For Last Minute Cancelations.
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I UNDERSTAND
All Credit/Debit Card Payments Will Incur A 4% Processing Fee And Must Be PAID IN FULL No Later Than 3 Days Prior To Your Booking Date. To Avoid Fees, We Recommend Using Other Payment Options Provided On Our Payment/Donation Page.
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I UNDERSTAND
I Understand That KAYGE Gaming Is Not Responsible For The Speed Or Quality Of The Internet Connection In Your Area. An Unsatisfactory Internet Connection May Effect Some Video Games. No Refunds / Discounts will Be Issued For Poor Internet Connection.
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YES
PLEASE NOTE: Adult Supervision Is REQUIRED For Guests Requiring “Special Consideration” (e.g., Children Under The Age Of 7, Physical Limitations/Impairments, Use Of Assistive Devices, Special Needs, etc.)
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YES I ACKNOWLEDGE
I Acknowledge My Understanding That The Rate Of $225/Hour Applies To Only (Pre-Selected) Non-Profit Community Bookings That Meet Specific Criteria. Including Those Scheduled For A minimum Of 3 Hours.
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I UNDERSTAND
Requests For Changes To Be Made To Your Booking Within 48-Hours Prior To Booking Time Are NOT Guaranteed.
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I UNDERSTAND
Same Day Booking Requests Are Subject To Additional Fees.
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I UNDERSTAND
Do You Have One Or More Of The Following Accounts: X (Formally Twitter) Or TikTok?
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YES
NO
We'd Like To Tag You On X (Formally Twitter) Or Tiktok When We Share Posts/Pictures From Your Booking, Please Provide Any Of Those Handles Below.
To Complete Your Booking Process, We Ask That You Please Be Sure To Follow Us On X (formerly Twitter) @GamingKayge Or TikTok @kayge_gaming Immediately After Form Submission
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I UNDERSTAND
Name/Relationship Of Person Completing This Form
*
