Black Cat Escape, LLC Escape Room Liability Waiver (BCE)
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS ESCAPE THE ROOM 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 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 twenty pounds;
3) Mental stress and anxiety;
4) Being in a reasonably small space with up to fifteen 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 also acknowledge that Black Cat Escape LLC is an escape room and I am aware that any of the themed rooms could have any of the following and accept all responsibilities for accidents or injury therein:
1) Uneven floors
2) Alternative flooring
3) Water Vapor
4) Laser Lights
5) Strobe Lights
6) Theater lighting
7) Computer screens with flashing messages
8) Stairs including step ladders, stools, etc.
10) Other adventure themed elements included in room experience
I am aware of and acknowledge that there are no clues or game play that require standing or climbing on furniture nor will I be required to force anything that does not easily move. Anyone who physically cannot or willfully chooses not to engage with stairs, slides, and other adventure themed elements can at any time contact a game master for alternative game play. Anyone vulnerable to flashing lights, water vapor, strobe lighting and anyone pregnant or whom otherwise has a physical or mental condition that at any time does not feel safe to participate in any of the themed elements of the room may at any time contact a game master and be removed from the game play and given a partial or full refund on a case by case basis.
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 but not limited to my death, paralysis, economical or emotional loss, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me in my participation in the activity as well as getting to or leaving from the escape room, 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 and am aware that I should carry my own health insurance and will incur any cost of medical treatment deemed advisable and received during this activity.
I understand while participating in this activity, I may be photographed and/or recorded. I agree to allow my photo, video, film likeness, or 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 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.
Electronic Signature Consent
By checking below, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.