Mahopac Library Virtual Reality (VR) and Augmented Reality (AR) Liability Release Form
For the purpose of this waiver, the terms VR and AR shall be used interchangeably.
Due to the unpredictable nature of the human response to virtual reality (dizziness, nausea, seizures, fear of heights, bumping into objects, etc.), we require all participants to sign this waiver releasing the Mahopac Public Library from any liability regarding your (or your child/dependent/minor's) use of the Oculus Rift, Lenovo Mirage, Google Expeditions, and/or any of the Library’s VR equipment.

Oculus VR, LLC, and Lenovo Group, Ltd. do NOT recommend that children under the age of 13 use the Oculus Rift and Lenovo Mirage headsets.

Google, LLC does NOT recommend that children under the age of 7 use the Google Expeditions app and headset.

A list and description of risks associated with the use of VR is available at http://mahopaclibrary.org/health-and-safety-risks-associated-with-the-use-of-vr.

Please stop use of the VR equipment if you feel any discomfort whatsoever.

BY USING ONE OF THE LIBRARY'S VR HEADSETS, YOU ARE INDICATING YOUR ACCEPTANCE OF THE TERMS AND CONDITIONS OF THIS AGREEMENT.

I (or my child/dependent/minor) wish to use one of the Library's VR headsets. I recognize and understand that the use of a VR headset involves certain risks.

1) I (or my child/dependent/minor) am using the VR equipment voluntarily;
2) I assume all of the physical, psychological, and financial risks associated with use of VR equipment;
3) By signing, I acknowledge that I have read and understood all of the terms of this release form and that I am voluntarily giving up substantial legal rights, including the right to sue the Mahopac Public Library or its employees;
4) [If the headset is being used by child/dependent/minor] I am the parent or legal guardian of the minor named below. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Release of Liability.

Form adapted from the White Plains Public Library Virtual Reality (VR) and Augmented Reality (AR) Liability Release Form 5/5/2018
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Participant's Last Name *
Participant's First Name *
Parent/Legal Guardian Full Name *
If you are filling out this form for yourself, please enter N/A
Phone Number *
 Library Card Number (not required)
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance . *
Required
I understand that this Release of Liability will be kept on file and will apply to future VR programs for which I, or the minor for which I am giving permission, may register. *
Required
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