Please fill out this waiver

Last Second Escape Liability Waiver

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH LAST SECOND ESCAPE LLC., 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 thirty pounds;

3) Mental stress and anxiety;

4) Being in a reasonably small space with up to sixteen persons;

5) Possibility of failure to escape the room in the allotted time;

6) Use of step ladders and or crawling and moving through small spaces;

7) Possible exposure to flashing lights and lasers. Please notify staff if you are at risk for epileptic seizures.

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 AccidentWaiverand 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.

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 acknowledge that the directors, officers, 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.

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 AccidentWaiverand Release of Liability Form shall be construed broadly to provide a release andwaiverto the maximum extent permissible under applicable law.

Amendment due to COVID-19 (July 2020)
Per orders of the Governor of Virginia, participants at Last Second Escape must sign a waiver to participate. Verifying that their health and well being is okay.By signing below,you're stating that you are healthy and do not exhibit any signs at all of illness due to COVID-19 in the past 14 days. You also understand that you may be asked if you're currently experiencing a fever of 100.4 degrees or higher, or any other symptoms that cannot be attributed to another health condition or specific activity like physical exercise, such as a cough, shortness of breath, chills, sore throat, or muscle aches. Anyone experiencing any of these symptoms will not be permitted to play any of our games and will be turned away. All guests are expected to maintain social distancing from those not in their own party and wear face masks if they are not fully vaccinated while participating in our games.

Sign Waiver

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