Loading...

Release of Liability for Escape Rooms and Axe Throwing

RELEASE OF LIABILITY FOR ESCAPE ROOMS – PLEASE READ BEFORE SIGNING

By signing this document, you HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS ESCAPE ROOM GAME, including by way of example and limitation, any risks that may arise from negligence or carelessness on the part of Leading edge Escape Rooms LLC, and other persons or entities being released below, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. By signing below, you agree to the following terms and conditions:   

I understand this activity has potential risks including but not limited to:

Possible moving or lifting objects of not more than twenty pounds

Mental stress and anxiety

Being in a reasonably small space with up to eight persons

Possibility of failure to escape the room in the allotted time.

May have Strobe lights and Smoke Machines

I have no physical or mental illness that prevents my participation in a safe manner for myself or others. I am not under the influence of drugs or alcohol or anything else that may impair my ability to participate in a safe manner for myself or others.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by Leading Edge Escape Rooms LLC, and that it will govern my actions and responsibilities at said activity. I agree that all staff may, at their own discretion, determine it is unsafe for myself or others for me to participate, and have the authority to remove me from the premises by any lawful means.

By signing this waiver for myself or as the parent or guardian of a minor and in exchange for allowing me ( or the minor on whose behalf this waiver is given ) to participate in the activities associated with the escape room, I agree to and accept full responsibility in regards to the following:

(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for any participant’s death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to the participants, THE FOLLOWING ENTITIES OR PERSONS: Leading Edge Escape Rooms LLC and its directors, officers, employees, volunteers, representatives, sponsors, advertisers, property owners, lessors, and agents ( the “Releasees”);

(B) I WILL INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the Releasees with regard to any and all liabilities or claims which may arise as a result of the participation in the activity, whether caused by the negligence of a Releasee or otherwise.

I acknowledge that the Releasees are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose this authorizing entity decides, and assigns.

This Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law and shall be binding on my estate, heirs, executors, administrators, successors, and assigns, as well as any other party asserting a claim on my behalf or on behalf of my estate

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

 

RELEASE OF LIABILITY FOR AXE THROWING – PLEASE READ BEFORE SIGNING

In consideration of being allowed to participate in axe throwing for Leading Edge Escape Rooms LLC., I , the undersigned, acknowledge, appreciate, and agree that:

The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and,

I willingly agree to comply with the stated and customary terms and conditions for participation; If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the company immediately; and,

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY; RELEASE, INDEMNIFY, AND HOLD HARMLESS Leading Edge Escape Rooms LLC., their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

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

 

Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is reported to be extremely contagious. The state of medical knowledge is evolving, but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air. People reportedly can be infected and show no symptoms and therefore spread the disease. The exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine for COVID-19. Evidence has shown that COVID-19 can cause serious and potentially life threatening illness and even death. Leading Edge Escape Rooms LLC cannot prevent you or your child(ren) from becoming exposed to, contracting, or spreading COVID-19 while utilizing Leading Edge Escape Rooms LLC’s services or premises. It is not possible to prevent against the presence of the disease. Therefore, if you choose to utilize Leading Edge Escape Rooms LLC’s services and/or enter onto Leading Edge Escape Rooms LLC’s premises you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19. ASSUMPTION OF RISK: I have read and understood the above warning concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to utilize Leading Edge Escape Rooms LLC’s services and enter Leading Edge Escape Rooms LLC’s premises. These services are of such value to me and/or to my children, that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to utilize Leading Edge Escape Rooms LLC’s services and premises in person. WAIVER OF LAWSUIT/LIABILITY: I hereby forever release and waive my right to bring suit against Leading Edge Escape Rooms LLC and its owners, officers, directors, managers, officials, trustees, agents, employees, or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to utilizing Leading Edge Escape Rooms LLC’s services and premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.

I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE.

Today's date: October 24, 2021

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
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*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Zip Code

Zip Code of Adult Participant or Signing Adult/Guardian *
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*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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!