Home
RESERVATIONS
MENU
LOUNGE PHOTOS
Policies
CONTACT US
Please Note: Irrespective of how much spent, both the minor, the legal guardian and possibly their entire section could be asked to leave the establishment if they break this agreement.
*
Indicates required field
Do you have a Legal Guardian or Parent with you who has guaranteed you won’t be drinking or smoking?
*
YES
NO
Do you have your physical state ID to prove you are 18+?
*
YES
NO
Do you Promise and agree to not consuming any alcohol or engage in smoking while in this establishment?
*
YES
NO
Do you agree to stay marked with a wristband provided by the lounge at all times while in the establishment?
*
YES
NO
DO YOU AGREE THIS ESTABLISHMENT WILL NOT BE HELD LIABLE FOR ANY REASON/S IF YOU BREAK THIS AGREEMENT AND THAT YOU WILL BE LIABLE TO COVER ANY LOSES, DAMAGES/DESTRUCTION CAUSED?
*
YES
NO
Do you understand that, by willing filling and submitting this form in the presence of your parent/legal guardian stands as a signed agreement/contract which you promise not to breach?
*
YES
NO
Name
*
First
Last
Phone Number
*
Email
*
DATE OF BIRTH
*
ID NUMBER
*
STATE OF ISSUE
*
Name OF parent/legal guardian
*
First
Last
Phone Number
*
ID NUMBER
*
STATE OF ISSUE
*
Do you agree to have read the terms of this establishment correctly, agreed to them and declare that every information you enter is correct and the truth?
*
Yes
No
Submit
Home
RESERVATIONS
MENU
LOUNGE PHOTOS
Policies
CONTACT US