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Green Bay Escape/Breakout Green Bay
ACCIDENT WAIVER AND RELEASE OF LIABILITY OF:

Green Bay Escape/Breakout Green Bay

2180 South Ridge Rd #3

Green Bay, Wisconsin, 54304

In consideration for being permitted in the Green Bay Escape/Breakout Green Bay facility and the related activities (collectively, “activities”) conducted by and at Green Bay Escape/Breakout Green Bay. Green Bay Escape/Breakout Green Bay RESERVES THE RIGHT TO REFUSE ENTRY TO THE FACILITY IF THE EMPLOYEES OR STAFF BELIEVES THAT PARTICIPANTS COULD CREATE A RISK OF HARM TO THEMSELVES OR OTHER PARTICIPANTS.

Assumption of Risk:  I realize that myself or my child/ward’s participation in this live escape game brings with it potential risks. By booking and participating in this event, myself and/or my child agree to assume all risks of participating in any/all activities associated with this event and it is my voluntary and informed decision to release any future lawsuits or claims that they may have against the releasees. Therefore, I agree on behalf of myself and my child/ward and our personal representative, successors, heirs, and assigns to hold Green Bay Escape/Breakout Green Bay and its affiliates, officers, directors, agents, employees, designers, licensors, and members, as well as the property owner and tenants of the property and the owners, manufacturers and installers of the equipment comprising the Green Bay Escape/Breakout Green Bay facility (collectively, the “Releasees”) harmless from any and all claims or causes of action arising out of me and/or my child/ward’s participation at the Green Bay Escape/Breakout Green Bay facility.

I certify that I understand this activity has potential risks including but not limited to:
1)   Mental stress and anxiety  
2)   Falling or tripping, contact and/or crashes with other participants, defective equipment, and the condition of the room.


In consideration of permitting me to participate in this cool 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, owners, 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 certify that 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 Green Bay Escape/Breakout Green Bay, organizer 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 the directors, officers, owners, employees, volunteers, representatives, and agents of any authorizing entity are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.


I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. 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 acknowledge that all concepts, puzzles, themes or any other intellectual property at Green Bay Escape belongs to Green Bay Escape/Breakout Green Bay LLC and may not be used without their written concent. Any use is strictly prohibited.


I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.


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.

 

-Participating in an event with/at Green Bay Escape/Breakout Green Bay will allow them to photograph me and use my likeness online or in marketing materials.

 


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