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Escape Room Extreme LLC /The Par Pub
Accident/Release of Liability Waiver and Media Release Authorization

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS ESCAPE ROOM EXTREME LLC (ERE LLC) ADVENTURE EXPERIENCE, And The Par Pub including but not limited to, any risks that may arise from negligence or carelessness on the part of the persons or entities being released (ERE LLC & The Par Pub), from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.  I certify that I understand this activity has potential inherent risks including but not limited to:

  1. Mental stress and anxiety
  2. Confinement in a small space with multiple persons 
  3. Golf Equipment Malfunctions(Clubs, Tees, Balls)
  4. Potentially moving or lifting objects weighing no more than ten pounds
  5. Physical activity​

 I certify that I have no physical or mental illness that precludes me from participating in this activity in a safe manner for myself or others.  I am not under the influence of drugs or alcohol which impairs my ability to maintain my safety awareness or endangers others.  I acknowledge that this Accident /Release of Liability Waiver and Media Release authorization will be used by the organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity.  I agree that all staff or authorized agents may, at their sole discretion, determine it unsafe for myself or others for my participation to continue, remove me from the premises by their authorization or any lawful means.

In consideration of my participation in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

1. 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 (ERE LLC & The Par Pub), for my death, disability, personal injury, property damage, property theft, or actions of any kind which may occur to me, TO THE FOLLOWING ENTITIES OR PERSONS:  The directors, officers, registered agents, owners, employees, volunteers, representatives, and agents of any and all entities authorizing this activity, including the property owners.

2. INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this form (ERE LLC & The Par Pub) from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.    

I acknowledge that the directors, officers, registered agents, owners, employees, volunteers, representatives, and agents of any authorizing entity (ERE,LLC & The Par Pub) are NOT RESPONSIBLE for errors, omissions, acts, or failures to act of any party or entity conducting specific activity on their behalf.

I hereby consent to receive medical treatment which may be deemed advisable by the released entity in the event of injury, accident, and/or illness during this activity.

I understand that 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 (ERE LLC & The Par Pub) determines to be conducive to marketing this business.  

This Accident/Release of Liability Waiver and Media Release Authorization shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT.  I AM AWARE THAT THIS IS A RELEASE OF LIABILITY, MEDIA AUTHORIZATION, AND A CONTRACT, AND I SIGN IT OF MY OWN FREE WILL. I ALSO AGREE TO TAKE FULL RESPONSIBILITY FOR ANY MINORS THAT SIGN AND PARTICIPATE WITH THE GROUP AT ERE, LLC and THE PAR PUB.

Date: May 4, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
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
A signed copy of this waiver will be sent to the email address you provide.
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.


By signing below the parent or court-appointed legal guardian agrees that they are also 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 Age Acknowledgment*
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.


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