Rage Room - Waiver Form

PARTYBOX 360 RAGE ROOM WAIVER FORM


RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT
(Hereinafter the “Release Agreement”).

BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP COMPENSATION FOLLOWING AN ACCIDENT. PLEASE READ CAREFULLY!

TO: PartyBox 360 and their respective directors, officers, employees, guides, agents, representatives, volunteers, independent contractors, subcontractors, sponsors, successors and assigns (all of whom are hereinafter collectively referred to as the “RELEASEES”).

ASSUMPTION OF RISKS
I am aware that participating in a rage room involves unusual risks, dangers and hazards including, but not limited to the malfunction of the equipment used; injury and open wounds; shock, stress or other injury to the body while participating in the rage room; NEGLIGENCE ON THE PART OF OTHER PERSONS; and NEGLIGENCE ON THE PART OF THE RELEASEES; FAILURE ON THE PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE RAGE ROOM. I acknowledge that the use of PartyBox 360’s Rage Room may result in injury, worsening of an existing medical condition, or death. I freely accept and fully assume all such risks, dangers and hazards and the possibility of injury, death, property damage or loss resulting therefrom.

MEDICAL CONDITION
I understand that use of the Rage Room may place unusual stresses on the body. Use of rage rooms are not recommended for persons suffering from asthma, epilepsy, cardio/respiratory disorder, hypertension, or 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, are not recommended to engage in the Rage Room. I have been advised to consult with my medical practitioner if I have any concern about my medical condition or fitness to engage in the rage room.

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
In consideration of the RELEASEES agreeing to my participation in the Rage Room, and permitting my use of the PartyBox 360 Rage Room’s equipment, room and other facilities, I hereby agree as follows:

TO WAIVE ANY AND ALL CLAIMS AND TO RELEASE THE RELEASEES from any and all liability for any loss, property damage, expense or injury including death that I may suffer, or that my next of kin may suffer, as a result of my participation in the Rage Room, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OR CARE ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES THE FAILURE ON PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE RAGE ROOM;

TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any property damage or personal injury to any third party resulting from my participation in the Rage Room;

PHOTO/VIDEO RELEASE – I consent to photographs and videos being taken of me during my participation in the rage room, and to publication of the photographs and videos by the RELEASEES for advertising, promotional and marketing purposes.

I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SUBMITTING IT, AND I AM AWARE THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING MY LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.