R13, 2019-11-13

NOTE: Escape & Evade llc does not accept paper waivers, please submit electronically.

Escape And Evade LLC.

FULL RELEASE OF LIABILITY AND WAIVER FORM

In consideration of being allowed to enter the play area, use inflatable equipment or to participate in any party and/or program at ESCAPE AND EVADE LLC. Adventure Zone located at 934 East Church St. Suite 101 Jasper Ga. 30143, the undersigned, on his or her behalf, and on behalf of the minor(s) identified below, acknowledges, appreciates, agrees and is fully aware of the risks and hazards in participating in any of the activities on the premises of ESCAPE AND EVADE LLC. Adventure Zone and further agrees as follows:

I agree for myself and/or the minor(s) listed below that we shall comply with all stated and customary terms, posted safety signs, rules, and verbal instructions as conditions for play and participation in any party and/or program at ESCAPE AND EVADE LLC. Adventure Zone and agree to pay for all damages to the facilities of ESCAPE AND EVADE LLC. Adventure Zone caused by myself or the listed minors' negligent, reckless, or willful actions. In addition, if I observe any hazard during our participation, I will bring it to the attention of the nearest ESCAPE AND EVADE LLC. Adventure Zone employee or official immediately. I recognize and understand that there are certain inherent risks associated with use of the play area, parties, and programs and that risks of injury include, without limitation, scrapes, bruises, cuts, and even more serious injuries, such as paralysis or death. Moreover, for myself and the minor(s) named below, I fully accept and agree to assume all of these risks (including risks arising from the negligence of other participants), and I assume full responsibility for personal injury to myself and the listed minor(s) and our respective heirs, assigns, administrators, personal representatives, and next of kin, waive, release and discharge ESCAPE AND EVADE LLC. Adventure Zone, its affiliates, officers, members, agents, employees, other participants, and sponsoring agencies for injury, loss or damage arising out of or related to our participation in any and all of ESCAPE AND EVADE LLC. Adventure Zone programs, activities, parties, and/or the use of the facilities of ESCAPE AND EVADE LLC. Adventure Zone. This waiver and release shall be binding and apply to all risks, known and unknown, even if resulting from negligent actions of other guests or employees of ESCAPE AND EVADE LLC. Adventure Zone.

Each participant must have a waiver form signed, either by them or if you are under the age of 18 years, then signed by a parent/legal guardian or designated representative by parent/legal guardian. If a waiver is not signed, the person will not be able to participate in ESCAPE AND EVADE LLC. Adventure Zone programs, parties and or use of the play areas and inflatable equipment.

"Rules of play" include and are not limited to. (a) Children 14 and younger must be accompanied by an adult (18 or older) at all times (b) no firearms or weapons (c) No alcohol or illegal drugs (d) No smoking or tobacco products of any kind (e) No fighting (f) No horseplay (g) No running (h) No climbing on rails or equipment (i) No improper or vulgar language of any kind (j) No loitering in courtyard or parking lot (k) NO rough play or bullying anywhere in our facility (l) Children should not play when they are sick (m) follow required dress code (n) follow the required rules for each attraction and the associates/referees at all times.

Pregnant women or those that believe they could be pregnant, those who suffer from asthma, are epileptic, suffer from seizures caused by strobe lights, have vision, heart, neck or back problems, have high blood pressure, motion sickness, vertigo, are under the influence of alcohol or drugs, have had aneurysms or recent surgery or illness, equilibrium or ear problems, are diabetic or any health or physical condition that could be affected by this attraction should NOT PLAY LASER TAG, RAGE ROOM OR VR.

I represent that I am the parent or legal guardian of the minor(s) named below, or I have obtained permission from the parent/legal guardian of the minor(s) named below to execute this agreement on their behalf. I further represent that the participants are healthy and physically able to participate in any and all undertaken activities. I consent to the reproduction, use, and distribution of pictures, videos and sound for the purpose of promotion and advertising to be used in electronic, print and Internet media.

Please select who will be participating:

First Minor's Information


Second Minor's Information


Third Minor's Information


Fourth Minor's Information


Fifth Minor's Information


Sixth Minor's Information


Participant's Address

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