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Company Info
Premises
Operations
Rentals
Abuse
Liquor
Auto
Property
Confirmation
Section 6: Operations Part 4 of 4
Do you operate any of the following? (Please select all that you operate)
Paintball / Laser Tag
Mobile Laser Tag
Miniature Golf
Other
If none of these apply please click NEXT to continue to the next page.
Paintball / Laser Tag
Annual sales:
$
Minimum age:
Minimum height:
Max. players per game:
Judges to players ratio:
Written instructions, procedures and training provided for players?
Yes
No
Does equipment meet ASTM standards?
Yes
No
Specify types of air fills used:
Barrel socks or safety plugs required?
Yes
No
Do you repair or modify equipment sold?
Yes
No
Is there a scheduled maintenance plan for equipment?
Yes
No
If yes, please provide details of the maintenance plan:
Do manufacturers provide certificates of insurance adding you as additional insured?
Yes
No
Are participants separated by level of experience?
Yes
No
Are spectators property protected from Paintball area/field?
Yes
No
Are participants in violation of the safety rules ejected?
Yes
No
Please list the protective gear supplied to participants:
Please indicate feet per second used at your location:
How often is equipment inspected:
How often is equipment changed:
Facility endorsed or fenced?
Yes
No
Any barriers/obstacles?
Yes
No
If there are barriers/obstacles, please describe:
Hand to hand fighting allowed?
Yes
No
Eye protection required?
Yes
No
Are customers allowed to bring their own equipment?
Yes
No
If customers bring their own equipment, is the velocity and it checked?
Yes
No
Are the employees trained in first aid?
Yes
No
Are products sold US made or purchased through US manufacturer?
Yes
No
Average age of rental equipment:
Total sq. ft. area of playing field:
Are signs posted stating rules and procedures?
Yes
No
Are waivers signed by all participants? (attach copy)
Yes
No
Are all games refereed?
Yes
No
Do you permit full automatic or burst/turbo shooting?
Yes
No
Do you have ramps?
Yes
No
Do you have steps?
Yes
No
Annual equipment sales:
Mobile Laser Tag
Annual sales:
$
# of Attendants?
Do you rent laser tag equipment?
Yes
No
Is equipment rented with operators/attendants?
Yes
No
Do you deliver the equipment?
Yes
No
Do you set up the equipment?
Yes
No
Do you tear down the equipment?
Yes
No
Do you use the manufacturer’s checklist for the set up and use of the equipment?
Yes
No
If used outdoors, are there procedures to suspend use during inclement weather?
Yes
No
Attach Copy of Rental Agreement:
Miniature Golf
Annual sales:
$
# of Attendants?
No. of courses:
No. of holes:
Waterfall or fountains w/ ground fault interrupters?
Yes
No
Is appropriate safety warning and rule/regulation signs posted at club rental counter and/or hole #1?
Yes
No
Who is course manufacturer?
Are walkways marked and lighted?
Yes
No
Is there a non-skid surface on all walkways?
Yes
No
Are moving parts on golf course holes safely guarded and maintained for patrons?
Yes
No
Other Activities
Types of Miscellaneous Activities:
(Please click on all that apply)
Trampolines
Rope ladders
Mechanical bull
Shuffleboard
Simulators
Volleyball/Basketball
Tennis courts
Trampolines:
Annual sales:
$
No. of attendants:
Rope Ladders:
Annual sales:
$
No. of attendants:
Mechanical bull:
Annual sales:
$
No. of attendants:
Shuffleboard:
Annual sales:
$
No. of attendants:
Simulators:
Annual sales:
$
No. of attendants:
Volleyball/Basketball
Annual sales:
$
No. of attendants:
Tennis Courts:
Annual sales:
$
No. of attendants:
Does the facility contain any of the following?
Ice Skating?
Yes
No
Roller Skating?
Yes
No
Hang Gliding?
Yes
No
Para-sailing?
Yes
No
Parachuting?
Yes
No
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