Game Haven STL 2518 Woodson Road Overland, MO 63114 314 942 3770

Parental Release Form for Minor Gamers The goal of Game Haven is to be a place for game enthusiasts of all ages to socialize and play the games they love. Minors between the ages of 13 and 17 are welcome to be here unattended until 10:30 pm Monday, Tuesday, Wednesday and Thursday nights. Friday and Saturday nights, Minors between the age of 13 and 17 may stay unattended until 11:30 pm in compliance with St. Louis County Curfew Laws. Children under the age of 13 are welcome in Game Haven as long as a parent or legal guardian attends to them at all times. We require some form of picture ID from all patrons over the age of 13, and Game Haven employees will do their best to follow ESRB guidelines for age appropriate gaming. The space at Game Haven is set up into several open stations, each with a different game system. There are no dividers, while moving to one station, a gamer will likely have to pass by a number of other stations.

I _____________________________________ give my child (age 13-17) permission to be at

(print parent/guardian name)

Game Haven. I understand that my child will be able to play any game rated T or under. While my child will not be allowed to check out games that are rated M (mature, 17+), s/he may see another customer playing them and be exposed briefly to some higher rated content.

To give my child permission TO CHECK OUT the Mature rated games, initial here

______

_________________________________________________
(parent/legal guardian signature)

__________________
(date)

_________________________________________________
Minors Name (print)

______________________
Minors Date of Birth

_________________________
Phone contact #1

_________________________
Phone Contact #2

Ratings you may find on games available to play at Game Haven* These games contain content that may be suitable for children ages 6 and up. Games in this category may contain mild, cartoon, or fantasy violence. The content is mild in impact. Might also contain of mild language/lyrics, comic mischief, and/or mild suggestive themes. This rating replaced the older K-A at the beginning of 1998. These games contain content that may be considered suitable for children 10 years of age and up. The content is mild to moderate in impact. Titles in this category may contain more of mild, cartoon, or fantasy violence, mild humor, more of mild language/lyrics, animated/mild blood, and/or more of mild suggestive themes. ages 10+ This category indicated titles with appeal to people of many ages and tastes. Titles in this category may contain minimal violence, some comic mischief (i.e. slapstick and gross-out comedy), or some crude language. This rating was replaced in 1998 by the E rating, so you will only see this rating on older games. Subsequently, all games with a K-A rating are considered to be E-rated with few exceptions. These games contain content that may be suitable for children 13 years of age and up. The content is moderate to strong in impact. However, they are not strictly agerestricted and children 13 and under may purchase them. Titles in this category may contain more moderate, cartoon, or fantasy violence, moderate blood/gore, more gambling, strong crude/suggestive humor, used of moderate suggestive/sexual themes, may include partial nudity, and/or frequent use of strong language. Games with this rating contain content that may be considered unsuitable for people under 17 years of age and persons under said age may purchase, rent, exhibit or view these games with the supervision of a parent or adult guardian. The content is strong and extreme in impact. Titles in this category may contain more blood and gore than the Teen rating would accommodate, mature humor, more gambling, intense violence, sexual themes or content, nudity, (which are often censored and stronger) and/or use of strong language. Megaman Game Anything on our arcade machine Mario Kart Super Smash Bros. Legend of Zelda

ages 6+

Lego Star Wars Banjo-Kazooie Nuts & Bolts

All Ages

Final Fantasy World of Warcraft Tomb Raider Call of Duty 2

ages 13+

ages 17+

Halo 3 Diablo Deadrising Call of Duty 4 Gears of War Mortal Kombat Grand Theft Auto

*To learn more about the ratings on specific games, visit www.esrb.org