Gaming Industry Technology Use Consent Form
Please review and complete this form to provide your consent for the use of gaming-related technologies and participation within the gaming platform.
Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Country of Residence
*
Please Select
United States
Canada
United Kingdom
Australia
Germany
France
Other
Which gaming platform(s) or technology will you be using?
*
PC / Desktop
Console (PlayStation, Xbox, Nintendo, etc.)
Mobile Device (Phone/Tablet)
Virtual Reality (VR)
Cloud Gaming Service
Other
Please specify the name(s) of the game(s) or technology(ies) you will use
*
Purpose of technology use (e.g., gameplay, testing, beta participation, streaming)
*
Please Select
Gameplay
Testing/Beta Participation
Streaming/Content Creation
eSports/Tournaments
Other
Are you under 18 years old?
*
Yes
No
If under 18, please provide parent or guardian's full name (leave blank if not applicable)
First Name
Last Name
Signature (Participant or Parent/Guardian if under 18)
*
Submit Consent
Submit Consent
Should be Empty: