ACCIDENT WAIVER AND RELEASE OF LIABILITY
Impossible Escape Norcross
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH IPOSSIBLE ESCAPE ESCAPE ROOM, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, 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 risks including but not limited to:1. Use of simple tools.2. Potentially moving or lifting objects of not more than twenty pounds.3. Mental stress and anxiety.4. Being in a reasonably small space with up to twelve persons.5. Possibility of failure to escape the room in the allotted time.6. Possibility of falling objects. I have no physical or mental illness that precludes my participation 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 Waiver and Release of Liability Form 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, in their sole discretion, determine it is unsafe for myself or others for my participation to continue, remove me from the premises by any lawful means. I acknowledge that Impossible Escape is not held liable to distribute refunds. In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (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 my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me, THE FOLLOWING ENTITIES OR PERSONS: The directors, officers, employees, volunteers, representatives, and agents of any and all entities authorizing this activity; (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph 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 hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. I agree to pay for all damages to the facilities of Impossible Escape caused by me. I fully understand that there are no refunds under any conditions once I purchase my entrance fee. 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. The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I understand that anyone younger than 18 years of age, must acquire parent or guardian signature. Any persons younger than 14 years of age must be accompanied by a parent or guardian. I understand participants must be 12 years or older. I CERTIFY THAT I HAVE READ THE IMPOSSIBLE ESCAPE ACCIDENT WAIVER AND RELEASE OF LIABILITY CONTRACT. I FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS CONTRACT AND SIGN IT IN MY OWN FREE WILL.
I am feeling fine today, I have not felt sick recently, no one in my household or immediate place of work has been diagnosed or shows symptoms of Covid-19, and I have not been in contact with anyone noticeably sick or who has Covid-19. By checking below 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 signing this agreement, 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. I AGREE TO THE TERMS PROVIDED AND CONSENT TO THE USE OF MY ELECTRONIC SIGNATURE