PLEASE COMPLETE FORM BELOW AND SUBMIT PRIOR TO YOUR ESCAPE CLUB DATE
SUMMER ESCAPE CLUB RELEASE &
WAIVER OF LIABILITY
While North Valley Escape Room, LLC facilities are inherently NOT dangerous, in consideration of my child being permitted to participate in any/all activities associated with real life escape the room game, operated by North Valley Escape Room, LLC of Anthem, Arizona, I hereby waive, release, and discharge North Valley Escape Room, LLC, its owners, officers, directors, employees, members, agents, assigns, legal representatives and successors, and all business associates and partners involved in the presentation of the above noted activity and each of them their owners, officers and employees, from all liability for or by reason of any damage, loss or injury to person and property, even injury resulting in the death of the Participant, which has been or may be sustained in consequence of the Participant’s participation in the activity described above, and notwithstanding that such damage, loss or injury may have been caused solely or partly by the negligence of North Valley Escape Room, LLC.
I understand that my child being permitted to participate in the above noted activity, there are potential risks including, but not limited to:
1) Being enclosed in a reasonably small room with up to 10 unrelated people
2) Potential tight spaces and low ceilings
3) Mental stress and/or similar disorders
4) The use of simple tools and objects.
5) Dim and/or flashing lighting in rooms
6) Potential motion of the room
6) Potential loud noises
7) Potential live actor interaction
I acknowledge that while my child is participating in the above noted activity, they will be monitored by video/audio and may be photographed after participating in the activity described above. I hereby consent to give North Valley Escape Room, LLC, permission to allow my child's photograph to be displayed, published or distributed for promotional purposes of the North Valley Escape Room, LLC exclusively.
I acknowledge that I am monetarily liable for any intentional damage to items or items taken by my child from the North Valley Escape Room, LLC.
I acknowledge that my child does not currently have COVID-19 or COVID-19 like symptoms and has been COVID-19 symptom free for at least 10 calendar days. Furthermore, I acknowledge that my child has not been exposed to anyone who currently has COVID-19 within the past 10 calendar days.
I acknowledge that I am the legal parent/guardian of the child listed on this waiver.
I ACKNOWLEDGE THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND NORTH VALLEY ESCAPE ROOM, LLC, AND SIGN IT OF MY OWN FREE WILL.
42302 N. Vision Way, Suite 104
Anthem, AZ 85086
JUST 15 MINUTES NORTH OF THE LOOP 101 AND I-17
PHONE: (623) 551-3111