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Considering my being allowed to use the services, equipment, and facilities of Smash N Dash Rage Room LLC. (“Rage Room”) I hereby acknowledge and agree to the following terms and conditions:

 

ASSUMPTION OF RISK: I hereby acknowledge, accept and agree that the use of or participation in a rage room, ax throwing, rage paint, related activities, and the use of Rage Room’s services, equipment, and facilities are inherently dangerous. 

 

Participation in any sessions and related activities on the premises may place unusual stresses on the body and is not recommended for persons suffering from asthma, epilepsy, cardio disorders, respiratory disorders, hypertension, skeletal, joint, or ligament problems or conditions and certain mental illnesses.

 

Women who are pregnant or suspect they are pregnant and persons who have consumed alcohol or are otherwise intoxicated are not recommended to engage in rage room sessions.

 

I have been advised to consult with my medical practitioner if I have any concerns about my medical condition or fitness to engage in a rage room session. I have received full information regarding Rage Room’s services, equipment, and facilities and have had the opportunity to ask any questions that I had regarding the same. 

 

I have full knowledge of the nature and extent of all the inherent risks associated with rage rooms and the services, equipment, and facilities used in rage rooms and related activities at Rage Room, which may include but are not limited to: 

 

a. Any and all manner of injury, including without limitation the possibility of serious injury or death, resulting from any of the services, equipment, and facilities at Rage Room, including without limitation, slipping or tripping on debris and hitting the floor, equipment, weapons, people or debris, whether permanently or temporarily in place, failure to wear protective gear, flying debris or any other consequence whatsoever of utilizing Rage Room’s services, equipment, and facilities;

b. Injuries resulting from the actions or omissions of others, including but not limited to slips, trips and falls of other participants and flying debris; 

c. Cuts and abrasions resulting from skin contact with damaged items, debris, or any other surface, person, or equipment; 

d. Injuries resulting from shock, stress, or another injury; 

e. The aggravation or worsening of any existing medical condition; 

f. Failure or misuse of safety gear, weapons, or any other items or equipment;

g. Failure to follow Rage Room’s employee instructions or failure to ask for information or assistance; 

h. Any injury that may occur while moving on or about the premises for any reason, including but not limited to slips, trips, and falls, and any and all inherent risks of the use of or participation in a rage room, and the services, equipment and facilities used in rage rooms and related activities at Rage Room. 


Further Questions and Statements to Agree Upon

a. If I am pregnant, I have notified the staff as I am unable to participate in any rage room activities and am participating in any other activities at my own free will and understanding of the inherent risks. 

b. I am not intoxicated or under the influence of any substances that alter my judgments 

c. I understand that if I vomit, urinate, defecate, leave personal garbage behind or intentionally damage items that are not damaged, I may be charged criminally and/or held financially responsible.  

I further acknowledge that the above list is not inclusive of all possible inherent risks associated with the use of Rage Room’s services, equipment, and facilities, and I agree that such a list in no way limits the extent or reach of this Assumption of Risk, Release, and Indemnification.

 Release In consideration of my use of Rage Room’s services, equipment, and facilities, and/or participation in any program, competition, special event, group, or party offered by or held at Rage Room, I hereby release and discharge Rage Room, as well as its members, managers, officers, directors, owners, employees, agents and contractors, from any and all liabilities, suits, claims, causes of action, demands, damages (including attorneys’ fees and expenses), losses or costs of any nature whatsoever incurred by me or that are in any way related to or arising out of the use or intended use of Rage Room’s services, equipment, and facilities, whether supervised or not, including, without limitation, all claims for property damage, personal injuries or wrongful, whether or not there are any allegations or charges of negligent acts or omissions on the part of any other parties, including Rage Room (collectively, the “Claims”).

 

INDEMNIFICATION: I hereby agree to indemnify Rage Room, as well as its members, managers, officers, directors, owners, employees, agents, and contractors, from any and all liabilities, suits, claims, causes of action, demands, damages, losses or costs of any nature whatsoever arising out of, or in any way relating to, my use of or movement in or throughout Rage Room’s services, equipment, and facilities, whether or not there are any allegations or charges of negligent acts or omissions on the part of any other parties, including Rage Room.

 

I understand and agree that Rage Room and its personnel or staff reserve the right to deny access to its facilities to any individual, permanently or for a specified period of time, for any breach of Rage Room’s policies, rules, and regulations, for any conduct that is viewed as unsafe or inappropriate, or for any other reason whatsoever, whether disclosed or not. 

 

While using Rage Room’s services, equipment, and facilities, I consent to Rage Room capturing any form of media containing my image, be it photo or video, and agree that any such media may be used for any and all purposes that Rage Room deems appropriate in its sole and absolute discretion. Rage Room may add my email address to their mailing list for Rage Room updates and promotions. 

 

This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, and assigns, in the event of my death or incapacity. 

 

By signing this agreement, I waive the right to bring a court action to recover damages or obtain any other remedy for any injury to myself or death, or any damages to my property, however caused, arising out of my use of or movement in or throughout Rage Room’s services, equipment, and facilities, now or any time in the future, whether or not there are any allegations or charges of negligent acts or omissions on the part of any other parties, including Rage Room. 

 

I agree to pay for any and all reasonable attorneys’ fees and expenses incurred by Rage Room as a result of any claims made by me or on my behalf in contravention of this agreement.

 

I am at least 18 years of age and legally competent to sign this agreement. This Assumption of Risk, Release, and Indemnification shall be effective and binding upon me and upon my assigns, heirs, representatives, executors, and administrators. 

 

If I am under 18, this release must also be signed and filled out below by my parent or guardian.

 

My participation in this activity is purely voluntary, and I elect to participate despite the risks described herein. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or I will otherwise agree to bear the costs of such injury or damage. 

 

I further certify that I have no medical or physical conditions which interfere with my ability to participate safely in the use of Rage Room’s services, equipment, and facilities, or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition.

 

I agree that the validity and enforceability of this release of liability and assumption of risk will be governed by the laws of the State of Georgia, without regard to its conflict of law rules, and the venue for any proceedings regarding this agreement shall be in the state courts located in Gordon County, Georgia.

 

 I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

I have had sufficient opportunity to read this entire document, as well as the opportunity to ask questions about this document if I have any. 

By signing this agreement, I acknowledge that if anyone is hurt or property is damaged while I am on the premises, I may be found by a court of law to have waived my right to maintain a lawsuit against Rage Room, as well as its members, managers, officers, directors, owners, employees, agents and contractors, on the basis of any claim from which I have released them herein.

 Participant signature

November 6, 2024


PARENT’S ADDITIONAL ASSUMPTION OF RISK, RELEASE, AND INDEMNIFICATION TO BE READ AND SIGNED BY PARENT OR LEGALLY APPOINTED GUARDIAN OF MINOR 

 

In consideration of the above minor being permitted by Rage Room to participate in its activities and to use its services, equipment, and facilities, I, hereby agree to release Rage Room from any and all Claims resulting from the aforementioned minor’s participation in or use of Rage Room’s services, equipment, and facilities and have described the risks and dangers of these activities to the minor, who chooses to participate in spite of the risks. I am familiar with and consent and agree to the terms and provisions set forth in this Assumption of Risk, Release, and Indemnification, and I agree to all of its terms and conditions on behalf of myself and the aforementioned minor for whom I am signing.







First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's If Doing the Rage Room Are You Pregnant?
Pregnant?*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's If Doing the Rage Room Are You Pregnant?
Pregnant?*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's If Doing the Rage Room Are You Pregnant?
Pregnant?*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's If Doing the Rage Room Are You Pregnant?
Pregnant?*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's If Doing the Rage Room Are You Pregnant?
Pregnant?*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's If Doing the Rage Room Are You Pregnant?
Pregnant?*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's If Doing the Rage Room Are You Pregnant?
Pregnant?*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's If Doing the Rage Room Are You Pregnant?
Pregnant?*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's If Doing the Rage Room Are You Pregnant?
Pregnant?*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's If Doing the Rage Room Are You Pregnant?
Pregnant?*
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's If Doing the Rage Room Are You Pregnant?
Pregnant?*
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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