Loading...

WAIVER

In consideration of my being allowed to use the services, equipment, and facilities of The RUFF Rage Room, I hereby and acknowledge and agree to the following terms and conditions:

ASSUMPTION OF RISK

I hereby acknowledge, accept, and agree that the use of or participation in The RUFF Rage Room’s related activities, and the use of Company’s services, equipment, and facilities are inherently dangerous. Participation in The RUFF Rage Room’s services and related activities may place unusual stresses on the body and is not recommended for persons suffering from asthma, epilepsy, cardio disorders, respiratory disorders, hypertension, 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 alcohol or are otherwise intoxicated are not permitted to engage in The RUFF Rage Room services. I have been advised to consult with my medical practitioner if I have any concern about my medical condition or fitness to engage in The RUFF Rage Room’s services.

I have received full information regarding The RUFF Rage Room’s services, equipment, and facilities and have had the opportunity to ask any questions that I had regarding the same. I have full knowledge of the nature and extent of all the inherent risks associated with The RUFF Rage Room and the services, equipment, and facilities used in The Smash Room and related activities at The RUFF Rage Room, which may include but are not limited to:

1. Any and all manner of injury, including without limitation the possibility of serious injury or death, resulting from any of the services, equipment, and facilities at The RUFF Rage Room’s Site, including without limitation, slipping or tripping on debris and hitting the floor, equipment, weapons, people or debris, whether permanently or temporarily in place, failure to wear protective gear, flying debris or any other consequence whatsoever of utilizing The RUFF Rage Room’s services, equipment, and facilities;
2. Injuries resulting from the actions or omissions of others, including but not limited to slips, trips and falls of other participants and flying debris;
3. Cuts and abrasions resulting from skin contact with damaged items, debris, or any other surface, person, or equipment;
4. Injuries resulting from shock, stress, or another injury;
5. The aggravation or worsening of any existing medical condition;
6. Failure or misuse of safety gear, weapons, or any other items or equipment;
7. Failure to follow The RUFF Rage Room or its Representative’s instructions or failure to ask for information or assistance;
8. Any injury that may occur while moving on or about the premises for any reason, including but not limited to slips, trips and falls, and any and all inherent risks of the use of or participation in The RUFF Rage Room, and the services, equipment and facilities used in The RUFF Rage Room’s Site and related activities at Site.

I further acknowledge that the above list is not inclusive of all possible inherent risks associated with the use of The RUFF Rage Room’s services, equipment, and facilities, and I agree that such list in no way limits the extent or reach of this Assumption of Risk, Release, and Indemnification.

In consideration of my use of The RUFF Rage Room’s services, equipment, and facilities, and/or participation in any program, competition, special event, group or party offered by or held at The RUFF Rage Room, I hereby release and discharge The RUFF Rage Room, as well as its members, managers, officers, directors, owners, employees, agents and contractors, from any and all liabilities, suits, claims, causes of action, demands, damages, losses or costs of any nature whatsoever incurred by me or that are in any way related to or arising out of the use or intended use of The RUFF Rage Room’s services, equipment, and facilities, whether supervised or not, including, without limitation, all claims for property damage, personal injuries or wrongful, whether or not there are any allegations or charges of negligent acts or omissions on the part of any other parties, including The RUFF Room (collectively, the “Claims”).

I hereby agree to indemnify The RUFF Rage Room, as well as its members, managers, officers, directors, owners, employees, agents and contractors, from any and all liabilities, suits, claims, causes of action, demands, damages, losses or costs of any nature whatsoever arising out of, or in any way relating to, my use of or movement in or throughout The RUFF Rage Room’s services, equipment, and facilities, whether or not there are any allegations or charges of negligent acts or omissions on the part of any other parties, including The RUFF Rage Room.

I understand and agree that The RUFF Rage Room and its personnel or staff reserves the right to deny access to its facilities to any individual, permanently or for a specified period of time, for any breach of The RUFF Rage Room’s policies, rules, and regulations, for any conduct that is viewed as unsafe or inappropriate, or for any other reason whatsoever, whether disclosed or not.

While using The RUFF Rage Room’s services, equipment, and facilities, I consent to The RUFF Rage Room capturing any form of media containing my image, be it photo or video, and agree that any such media may be used for all purposes that The RUFF Rage Room deems appropriate in its sole and absolute discretion. The RUFF Rage Room may add my email address to their mailing list for The RUFF Rage Room updates and promotions.

This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, and assigns, in the event of my death or incapacity. By signing this agreement, I waive the right to bring a court action to recover damages or obtain any other remedy for any injury to myself or death, or any damages to my property, however caused, arising out of my use of or movement in or throughout The RUFF Rage Room’s services, equipment, and facilities, now or any time in the future, whether or not there are any allegations or charges of negligent acts or omissions on the part of any other parties, including The RUFF Rage Room. I agree to pay for any and all reasonable attorneys’ fees and expenses incurred by The RUFF Rage Room as a result of any claims made by me or on my behalf in contravention of this agreement.

I am at least 18 years of age and legally competent to sign this agreement. This Assumption of Risk, Release and Indemnification shall be effective and binding upon me and upon my assigns, heirs, representatives, executors, and administrators. If I am under the age of 18, this release must also be signed and filled out below by my parent or guardian.

My participation in this activity is purely voluntary, and I elect to participate in spite of the risks described herein. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or I will otherwise agree to bear the costs of such injury or damage. I further certify that I have no medical or physical conditions which interfere with my ability to participate safely in the use of The RUFF Rage Room’s services, equipment, and facilities, or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition.

I agree that the validity and enforceability of this release of liability and assumption of risk will be governed by the laws of the State of Wisconsin, without regard to its conflict of law rules, and venue for any proceedings regarding this agreement shall be in the state courts located in Wisconsin. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

I have had sufficient opportunity to read this entire document, as well as the opportunity to ask questions about this document if I have any. By signing this agreement, I acknowledge that if anyone is hurt or property is damaged while I am on the premises, I may be found by a court of law to have waived my right to maintain a lawsuit against The RUFF Rage Room’s, as well as its members, managers, officers, directors, owners, employees, agents, and contractors, on the basis of any claim from which I have released them herein.

December 21, 2024

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Additional information
Note: If you are completing this with or on behalf of a dependant, please tick the appropriate box below and provide the dependant name(s).
I am filling this form out on behalf of myself and my dependant(s)
I am filling this form out on behalf of my dependant
I understand and acknowledge that by signing this form, I am legally agreeing to all of the statements.
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*

Middle Name

Last Name*

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


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!