Event Waiver - Virtual World Arcade LLC
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT ("AGREEMENT")
[ I am in good health.]
By participating in the VIRTUAL REALITY EXPERIENCE, I am indicating, that I understand the nature of this activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe the experience is unsafe, I will immediately discontinue participating in the Activity.
I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, TEMPORARY OR PERMANENT DISABILITY, ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS’ NEGLIGENCE, OR THE CONDITION OF THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN AND UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY.
[ I will not sue Virtual World Arcade and its affiliates.]
I hereby release, discharge, and covenant not to sue Virtual World Arcade, LLC, its Respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, partners, manufacturers, lessors, affiliates, and if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASES" herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence or the "releases" or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releases, I will indemnify, save, and hold harmless each of the releases from any loss, liability, damage, or cost which any may incur as the result of such claim.
In the event that I should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.
And, in the event that any damage to equipment or facilities occurs as a result of my willful actions, neglect or recklessness, I acknowledge and agree that I may be held liable for any and all costs associated with such actions.
PARENTAL CONSENT FOR MINORS UNDER 18
CHILDREN MUST BE AT LEAST 6 YEARS OF AGE TO PARTICIPATE
Please note: VR headset manufacturers’ recommended minimum age is 13.
AND I, the minor's parent and /or legal guardian, understand the nature of the above referenced activities and the minor's experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releases from all liability, claims, demands, losses, or damages on the minor's account caused or alleged to have been caused in whole or in part by the negligence of the releases or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor's behalf makes a claim against any of the above Releases, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releases from any litigation expenses, attorney fees, loss liability, damage, or cost any Release may incur as the result of any such claim. In the event that my child causes any damage to equipment or facilities as a result of my child’s willful actions, neglect or recklessness, I acknowledge and agree that I may be held liable for damages associated with such actions mentioned above. And, in the event that my child does not adhere to or openly disregards instructions from employees or volunteers of Virtual World Arcade, I understand that my child may be refused service. I REPRESENT THAT I HAVE FULL AUTHORITY AS PARENT OR LEGAL GUARDIAN TO BIND THE MINOR PARTICIPANT TO THIS AGREEMENT.
[ I am okay with having photographs or videos taken of me. I am okay with receiving newsletter via email.]
Upon entering this area, I knowingly give my consent for photograph(s) and/or video(s) taken of me during the course of my presence to be used for publicity purposes: on the Virtual World Arcade website, in brochures and flyers, social media outlets, news releases, and in presentations to future prospective program participants. I understand that I will receive no compensation for such uses. I retain the right to have any photograph(s) and/or video(s) discontinued from use in any or all of the above venues upon request, and if, at any time, I wish my photograph(s) and/or video(s) to be discontinued from any of the above, it is my responsibility to contact Virtual World Arcade, LLC to make this request. In addition, I also knowingly give my consent for my email to be used by Virtual World Arcade for communications, newsletters, and marketing promotions purposes and that it is my responsibility to unsubscribe from such promotions, should I choose to do so.
I WILL NOT HOLD VIRTUAL WORLD ARCADE, LLC OR ITS AFFILIATES RESPONSIBLE FOR LOST OR STOLEN PERSONAL PROPERTY.
If participant is a minor under 18, I certify that I am the parent or legal guardian of the minor and confirm that the information i entered is accurate and true. I am at least 18 years old and I have read and agree to the terms of the above agreement. By typing my FULL NAME below, I am electronically certifying this waiver document just as if I would have physically signed it if it was on paper.
Type of Event
Please enter full name of person or organizer who booked this reservation and / or company name.
Please enter email address of organizer
Please enter the organizer's phone number.
Player Name List
Please enter FIRST & LAST NAMES for all participants, PER LINE who are going to play VR. Example: John Doe <return> Jane Doe <return> If player is a minor, please list parent / guardian FULL NAME next to the minor. * If participant is a minor under 18, I certify that I am the parent or legal guardian of the above minor and confirm that the information i entered is accurate and true. I am at least 18 years old and I have read and agree to the terms of the above agreement. By typing my FULL NAME below, I am electronically certifying this waiver document just as if I would have physically signed it if it was on paper. (Please enter your FIRST name and LAST name )
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service