WIREWORLD BIRTHDAY PARTY CONSENT FORM Parental consent is required for all under 18’s to play Modern Warfare 2 MULTIPLAYER at your Birthday Party. Without this consent we cannot offer this game for your Party booking. I, ___________________________, am the parent or legal guardian of: __________________________________, age _________________. I am authorizing, on behalf of all parents/legal guardians of my child & my party guests for Wireworld to offer Modern Warfare 2 Multiplayer as my party game, which carries an 18-age rating. My signature below indicates that I understand the current age ratings of video games and that I have obtained permission/consent from all parents & legal guardians of my Party guests. I do not hold WIREWORLD RADSTOCK LTD and/or its employees responsible for playing Modern Warfare 2 Multiplayer at my party. _____________________________________ ___________________ Parent/Guardian Signature: Date: