I HEREBY ASSUMEALL OF THE RISKS OF PARTICIPATING IN ANY ACTIVITIES ASSOCIATED WITH THIS ESCAPE!FRENCH LICK LLC EVENT,
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 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 10 persons;
5) Possibility of failure to escape the room in the allotted time;
6) Possible exposure to flashing lights and/or lasers;
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.
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,
employees, volunteers, representatives, and agents of any and all entities authorizing this activity;
(B) IMDEMNIFY,HOLD HARMLESS AND PROMISE NOT TO SUE the entities or persons mentioned in this waiver from any and all
liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release
I acknowledge that the directors, 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 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 agree to not take any pictures or disclose any of the secrets of the rooms to others.
If I am signing for a minor or minors I attest I am their legal guardian and I have every legal right to do so.
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THIS IS A RELEASE OF
LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.