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Mandatory Waiver and Release of Liability Form 

I agree and acknowledge as follows:

  1.  MISH MASH Adventures places you in rooms where you and others in the room (your team) will complete challenges. Rooms involve physical challenges and may contain tripping and/or falling hazards. These physical challenges may include, throwing objects, kicking objects, climbing, ducking and jumping. Since you are completing the challenges with others in the same room, you could also become injured by physical contact with other players on your team.  Please note that you may encounter lasers and strobe style lights in some rooms. I fully understand and acknolwedge that (a) risks and and dangers exist in my participation with MISH MASH Adventures; (b) my partcipation in the challenges may be physical and/or emotionally demanding and may result in bodily injury; (c) these risks and dangers may be caused by negligence of the owners, employees, officers or agents of MISH MASH Adventures, my negligence, the negligence of other participants, the negligence of others, the forces or nature, or other causes. These risks and dangers may arise from forseeable or unforseeable causes and by my participation in these activities. I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether caused in whole by the negligence or other conduct of the owners, agents, officers, employees of MISH MASH Adventures or by any other person. 
  2.  I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify MISH MASH Adventures, its affilates and related companies and their respective directors, managers, owners, officers, successors, assigns, agents, representatives and employees (collectively, "Released Parties") from any and all claims, actions or losses for bodily injury, emotional distress, pain and suffering, property damages, wrongful death, or otherwise which may arise out of my participation with MISH MASH Adventures. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have now or in future for the negligence or other conduct by the owners, agents, officers or employees of the Released Parties. 
  3.  I understand that inappropriate behavior that interferes with the delivery of the guest experience, including but not limited to, being under the influencer of alcohol and/or drugs, may result in me being turned away and my game stated as a now show.
  4.  The Released Parties are not responsible or liable for my personal belongings while at MISH MASH Adventures.
  5.  I give MISH MASH Adventures the right to use any photographs or video recordings created while I parcitipate in MISH MASH Adventures for publicity and/or advertising purposes. 
  6.  I acknowledge that the contact information set forth below is true and accurate.
  7.  I hereby grant MISH MASH Adventures to store my contact information for operational purposes, unless I grant the permission as set forth below. 

 

First Participant's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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's Name

First 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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