BEAR TOWNE ESCAPE ROOM ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH BEAR
TOWNE ESCAPE ROOM, 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 fifteen pounds;
3) Mental stress and anxiety;
4) Being in a reasonably small space with up to five persons;
5) Possibility of falling objects
In consideration of my application and permitting me to participate in this activity, I hereby take action
for myself, 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, 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) 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, 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, THE UNDERSIGNED, 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.