Accident Waiver And Release Of Liability Form printable pdf download

ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM

I HEARBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THE ESCAPE ROOM CHALLENGE LLC EVENT,

including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities

being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or controlled by them, or

because of their possible liability without fault.

I certify that I understand this activity has potential risks including but not limited to:

1) use of simple tools

2) potentially moving or lifting objects of not more than twenty pounds

3) mental stress and anxiety

4) being in a reasonably small space with up to ten persons

5) possibility of failure to escape the room in alloted time

I have no physical or mental illness that precludes my participation in a safe manner for myself or others. I am not under the influence of drugs

or alcohol which impairs my ability to maintain my safety awareness or endangers others.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the organizer of the activity in which I may participate,

and that it will govern my actions and responsibilities at said activity. I agree that all staff or authorized agents may, in their sole discretion,

determine it is unsafe for myself or others for my participation to continue, remove me from the premises by any lawful means. In consideration

of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin,

successors, and assign as follows:

A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the

entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter

occur to me, THE FOLLOWING IENTITIES OR PERSONS: The directors, officers, employees, volunteers, representatives and agents of any and all

entities authorizing this activity;

B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or

claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.

I asknowledge that the directors, officers, employees, volunteers, representatives, and agents of any authorizing entity are NOT responsible for

the errors, omissions, acts, or failures to act of any party or entity conductinga specific activityon their behalf.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.

I understand while participating in this activity, I may be photographed, I agree to allow my photo, video, or film likeness to be used for any

legitimate purposethis authorizing entitydecides and assigns.

The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible

under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A

CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

Full Name

Date Of Birth

Sign for a minor:

Minor 1

Minor 2

Minor 3

Minor 4

Minor 5

Minor 6

Minor 7

Minor 8

Accident Waiver And Release Of Liability Form

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