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Imaginations VR

2035 W. McDermott Dr.

Suite 470

Allen, TX 75013

This agreement releases Imaginations VR, Inc. from all liability related injuries that may occur during gameplay. By signing this agreement I agree to hold Imaginations VR, Inc. entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence.

I also acknowledge the risks in virtual reality gameplay. This includes, but is not limited to: falling, hitting other players, nausea, dizziness, etc. I swear that I am participating voluntarily and that all risks have been made clear to me. Additionally, I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in this activity. 

By signing below, I forfeit all rights to bring a suit against Imaginations VR, Inc. for any reason. In return, I will receive virtual reality gameplay. I will also make every effort to obey safety precautions as listed in writing and as explained verbally. I will ask for clarification when needed. The guardian/ parent is also liable for any damage done to any equipment, and will pay for damages in full. This includes, but is not limited to: damaging a headset, cord, computers, monitors, and/or controllers.

Media Release

I authorize Imaginations VR, Inc. to use the following personal information:

  1. My picture: Including photographs, motion picture, and electronic (video images)
  2. My voice: Including sound and video recordings

I hereby waive the right to receive any payment for signing this release and waive the right to receive any payment for Imaginations VR, Inc. use of any of the material described above for marketing, communications, or advertising purposes and any of the purposes authorized by this release.

February 22, 2020

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

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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

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

First Name*

Middle Name

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

First Name*

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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*

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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 17 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'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.


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