TODAY'S DATE: November 16, 2019
WAIVER AND RELEASE OF LIABILITY FORM
I agree and acknowledge as follows:
1. The Breakout Games places you in a room where you and the others in the room will relyupon clues and puzzles to enable you to escape out of the room. Each room contains furnitureand objects consistent with the theme of the room. In some rooms, the participants arehandcuffed and/or blindfolded. I fully understand and acknowledge that (a) risks and dangersexist in my participation in The Breakout Games; (b) my participation in such activities may beemotionally demanding, create a fear of claustrophobia or result in bodily injury; (c) these risksand dangers may be caused by the negligence of the owners, employees, officers or agents ofThe Breakout Games, my negligence, the negligence of other participants, the negligence ofothers, accidents, the forces of nature or other causes. These risks and dangers may arise fromforeseeable or unforeseeable causes and by my participation in these activities. I hereby assumeall risks and dangers and all responsibility for any losses and/or damages, whether caused inwhole or in part by the negligence or other conduct of the owners, agents, officers, employees ofThe Breakout Games or by any other person.
2. I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agreeto release, waive, discharge, hold harmless, defend, and indemnify The Breakout Games, itsaffiliates and related companies and their respective directors, managers, owners, officers,successors, assigns, agents, representatives and employees(collectively, the Released Parties)from any and all claims, actions or losses for bodily injury, emotional distress, pain andsuffering, property damages, wrongful death, or otherwise which may arise out of myparticipation in the Breakout Games. I specifically understand that I am releasing, dischargingand waiving any claims or actions that I may have now or in the future for the negligence orother conduct by the owners, agents, officers or employees of the Released Parties.
3. I understand that demonstrating inappropriate behavior that interferes with the delivery of the guest experience, including being under the influence of alcohol and/or drugs, may result in me being turned away and my game stated as a no show.
4. The Released Parties are not responsible or liable for my personal belongings while atThe Breakout Games.
5. I give The Breakout Games the right to use any photographs or video recordings createdwhile I participate in The Breakout Games activities for publicity and advertisingpurposes.
6. I acknowledge that the contact information set forth below is true and accurate.
7. I hereby grant permission for The Breakout Games to store my contact information foroperational purposes, unless I grant the permission as set forth below.