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Waiver of Liability

BY SIGNING THIS AKNOWLEDGEMENT AND ASSUMPTION OF RISK; STATEMENT OF COMPLIANCE WITH TERMS AND CONDITONS; RELEASE OF LIABILITY; WAIVER OF CLAIMS; INDEMNIFICATION; AND IMAGE RELEASE (hereinafter “Agreement”), YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT OR INJURY. PLEASE READ CAREFULLY!

To: BEV’S RAGE ROOM LLC (“Bev’s Rage Room,” anyt any and all of its related entities, together with any of their respective managers, directors, officers, owners, employees, investors, advisors, advertisers, agents,volunteers, vendors, contractors, landlords, lessors, lenders, sponsors, successors, and assigns (all of whom are hereinafter collectively referred toas the “Releasees”).

In consideration of me being allowed to be present at BEV’S RAGE ROOM and to participate in activities offered by BEV’S RAGE ROOM and to use the equipment, services, property, facilities, and premises belonging to or under the control of BEV’S RAGE ROOM, together with all related preparation, unequipping, and other activities related to or arising in connection with such participation or use (all of the aforementioned being referred to collectively here in as “Participation”), I, myself and for each minor for whom I am parent or guardian as indicated herein (“I”, “Me”, or “My,”) hereby acknowledge and agree as set forth herein, including, without limitation, that I acknowledge and assume all risks of Participation; that I am now in compliance and will comply with all terms and conditions herein and referenced and/or incorporated herein; that I release and hold the Releasees harmless as specified herein, that I waive claims as set forth herein; that I indemnify the Releasees as set forth herein; and that I consent to release any image and likeness as set forth herein:

ASSUMTION OF RISKS

I am aware that participating in a rage room involves unusual risks, dangers and hazards including, but not limited to: accidents which may occur in the facility; slips and/ or falls; malfunction of the equipment used; injury and open wound, cuts, scrapes, abrasions, burns, rashes, blisters; illness, disease, and or infection; shock, stress, emotional injury, and/ or psychological trauma; anticipation of immediate personal danger or injury; Inadvertent and/or unwelcomed touching and/ or contact; Fractured or broken bones; neurological injury; Strain upon, sprain, or tearing of muscles and/or ligaments, bruises and/or tissue injury; injury to internal organs; injury to eyes, ears, or nose; Cosmetic injury; Cardiac or respiratory distress and/or injury; concussion, disability, or paralysis; aggravation or worsening of any existing medical condition;  Any other personal or bodily injury or accident resulting from or arising in connection with tripping, falling; contact with floors, ceiling, equipment, people, fixtures, items, or debris; failing to use, or properly use equipment and protective gear; unavailability of immediate medical assistance or attention; flying debris, items or implements; omissions or acts of others; skin contact with equipment, items, debris, or any other surface, person, or equipment; failure to inspect, or failure, misuse, or malfunction of safety equipment or any other items or equipment, items or premises; failure to follow instructions, or failure to ask for assistance or information; collisions, touching; my own actions, inactions and/or negligence; NEGLIGENCE ON PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES, WITHOUT LIMITATION, FAILURE ON THE PART OF THE RELASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HABITS OF participation.

I FURTHER ACKNOWLEDGE THAT THE ABOVE LIST IS NOT INCLUSIVE OF ALL POSSIBLE INHERENT RISKS ASSOCIATED WITH PARTICIPATION, and I agree that such list in no way limits the extent of my assumption of risk, release, or indemnification. I UNDERSTAND THAT NEGLIGENNCE INCLUDES FAILURE ON THE PART OF THE RELEASES TO TAKE RESEANONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS. DANGERS AND HAZARDS OFBEV’S RAGE ROOM.   I understand that there may be other risks not known to me or reasonably foreseeable at this time. I have considered the risks involved and freely accept and fully assume all risks, dangers and hazards and the possibilities of bodily or personal injury, death property damage or other loss resulting therefrom.

MEDICAL CONDITON

I understand that use of the rage room may place unusual stress on the body. Use of rage rooms are not recommended for persons suffering from asthma, epilepsy, cardio/respiratory disorder, hypertension, or skeletal, joint or ligament problems or conditions, and certain mental illnesses. Women who are pregnant or suspect they are pregnant, and persons who have consumed drugs or alcohol, are not recommended to engage in the rage room. I have been advised to consult with my medical practitioner or physician if I have any concern about my medical condition or fitness to engage in the rage room.

To the best of my knowledge, I have not been in close contact with a confirmed case of COVID – 19 within the last 2 weeks; am not currently experiencing a cough, shortness of breath, or sore throat; and have not had a fever in the last 48hrs

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

In consideration of the Releasees agreeing to my participation in the rage room, and permitting my use of the Bev’s Rage Room equipment, room, and other facilities, I do hereby agree as follows:

1.    TO WAIVE ANY AND ALL CLAIMS AND TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense, or injury including death that I may suffer, or that my next of kin may suffer, as a result of my participation in the rage room/ paint splatter room, DUE TO ANY CAUSE WHATSOEVER, INLCUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDED THE FAILURE ON PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF BEV’S RAGE ROOM.

2.    TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any property damage or personal injury to any third party resulting from my participation In BEV’S Rage Room;

3.    This Release Agreement shall be effective and binding upon any heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death, incapacity or injury.

PHOTO/VIDEO RELEASE- I consent to paragraphs and videos being taken of me during my participation at BEV’S RAGE ROOM, and to the publication of the photographs and videos by the Releasees for advertising, promotional and marketing purposes.

In entering of this RELEASE AGREEMENT, I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of the rage room, other than what is set forth in this Release Agreement. 

Date Signed: September 19, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

How did you hear about us? *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Information

How did you hear about us? *
Third Participant's Name

First Name*

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Information

How did you hear about us? *
Fourth Participant's Name

First Name*

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Information

How did you hear about us? *
Fifth Participant's Name

First Name*

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Information

How did you hear about us? *
Sixth Participant's Name

First Name*

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Information

How did you hear about us? *
Seventh Participant's Name

First Name*

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Information

How did you hear about us? *
Eighth Participant's Name

First Name*

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Information

How did you hear about us? *
Ninth Participant's Name

First Name*

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Information

How did you hear about us? *
Tenth Participant's Name

First Name*

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Information

How did you hear about us? *
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

How did you hear about us? *
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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