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PARTICIPANT INFORMATION & PARTICIPANT RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT - READ BEFORE SIGNING

By participating at Virtuality Gaming Den you release Virtuality Gaming Den, LLC from any and all liability - financial or otherwise - that may arise from your attendance.

You are hereby aware that some people experience nausea, disorientation, motion sickness, general discomfort, headaches or other health issues when experiencing virtual reality. Your booking signals your agreement to take full responsibility for these or any other consequences that may arise from participation at Virtuality Gaming Den.

 

Be aware that some content being exhibited is in an unfinished, prototype state, and may heighten the above sensations. Demo experiences are explicitly not intended for users under 13 years of age, and your booking signals your agreement to take full responsibility for any use of virtual reality or any other technologies exhibited at Virtuality Gaming Den by any minors in your care. By remaining on the premises you agree you will not pursue legal action against Virtuality Gaming Den, LLC for any damages - real or perceived - arising from your attendance. If you do not wish to be subject to the foregoing, please do not proceed further of this form.

 

Your attendance signals your irrevocable consent to, and authorization without compensation for Virtuality Gaming Den to film, to use your likeness, pictures, voice, and to make photo, video and audio recordings of your attendance.  You are hereby aware of such recording, and relinquish your rights to any compensation for any release of these recordings in any media now extant or to be devised in the future. If you do not wish to be subject to the foregoing, please do not proceed further of this form.

 

Who Can Play?

You must be 7 years and over to play. We do not recommend this experience to those who are:

pregnant
elderly
have pre-existing binocular vision abnormalities
have psychiatric disorders
suffer from a heart condition
other serious medical condition
children under the age of 13 without proper parent or guardian participation and permission

Seizures: Some people (about 1 in 4000) may have severe dizziness, seizures, epileptic seizures or blackouts triggered by light flashes or patterns, and this may occur while they are watching TV, playing video games or experiencing virtual reality, even if they have never had a seizure or blackout before or have no history of seizures or epilepsy. Such seizures are more common in children and young people under the age of 20. Anyone who has had a seizure, loss of awareness, or other symptom linked to an epileptic condition should see a doctor before playing VR games.

 

Other Responsibilities: By using the Virtuality Gaming Den services, you acknowledge you are renting space, hardware and software for the duration of your reservation. Please keep to all the in game safety guides to prevent equipment damages. You are financially responsible for damages to any equipment that may occur during playtime. This includes: Vive Pro Headsets, Headphones, controllers, Pc's, Sensors, and LED Screens. In case of such damage(s) you are responsible to pay the price of the damaged equipment.

 

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, I FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

First Participants Name

First Name*

Last Name*

Phone*
First Participants Date of Birth*
First Participants Signature*
Second Participants Name

First Name*

Last Name*
Second Participants Date of Birth*
Third Participants Name

First Name*

Last Name*
Third Participants Date of Birth*
Fourth Participants Name

First Name*

Last Name*
Fourth Participants Date of Birth*
Fifth Participants Name

First Name*

Last Name*
Fifth Participants Date of Birth*
Sixth Participants Name

First Name*

Last Name*
Sixth Participants Date of Birth*
Seventh Participants Name

First Name*

Last Name*
Seventh Participants Date of Birth*
Eighth Participants Name

First Name*

Last Name*
Eighth Participants Date of Birth*
Ninth Participants Name

First Name*

Last Name*
Ninth Participants Date of Birth*
Tenth Participants Name

First Name*

Last Name*
Tenth Participants Date of Birth*
Parent or Guardian Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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.
Parent or Guardian Name

First Name*

Last Name*

Phone*
Parent or Guardian Date of Birth*
Parent or Guardian 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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