ADULT'S NAME: Please enter your details as the adult of your group. Each adult is required to fill out their own waiver.*
You must be at least 18 years old in order to sign a liability waiver. If you are not 18 or older, your parent or legal guardian must sign this waiver on your behalf.
I acknowledge and agree as follows:
I am aware that the activity may require physical exertion and moving around within a confined space and result in injury.
The use of any virtual reality equipment entails known and unanticipated risks that could result in physical or emotional injury, including but not limited to dizziness, vertigo, lack of balance, or nausea.
The facility may use costumed actors, strobe or laser lights, sudden sound or music, and darkened or dimly lit areas.
I accept and assume all of the risks associated with this activity and elect to participate at my own risk with prior knowledge of the dangers.
I do not have epilepsy and am not prone to seizures or any illness, ailment, or incapacity that may affect participation in the activity.
I agree to obey instructions and rules and acknowledge that Breakout Escape Rooms has the right to stop the activity at any time.
I accept liability for the cost of any damage to the equipment or venue caused by me.
Breakout Escape Rooms is not responsible for lost or stolen property.
Breakout Escape Rooms may send me emails from time to time, which I can choose to unsubscribe.
I acknowledge that photos and videos may be taken and uploaded for commercial use by Breakout, and an email sent to me directing me to my images.
In consideration of being permitted to participate in Breakout Escape Room games, I acknowledge, agree, and represent that I understand the nature of the activity and that I am qualified and in good physical and mental health condition.
I further agree and warrant that if at any time, I believe the conditions to be unsafe, I will immediately discontinue further participation.