Release of Liability, Waiver of Claims, Assumption of Risk and Indemnity Agreement
Spaces VR Waiver
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First name of the signing adult *
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Last name of the signing adult *
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Full names of children/wards of the signing adult
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By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper.
I certify that I am 18 years of age or older
I UNDERSTAND AND AGREE, on behalf of myself, my heirs, assigns, personal representative and next of kin, that my and/or my child/ward’s use of Spaces VR virtual reality equipment is not permitted without my execution of this document. *
Required
I acknowledge that my and/or my child/ward’s use of Spaces VR virtual reality equipment entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. The risks include, among other things: impact injury, seizures, loss of awareness, eye strain, eye or muscle twitching, involuntary movements, altered, blurred, or double vision or other visual abnormalities, dizziness, disorientation, impaired balance, impaired hand-eye coordination, excessive sweating, increased salivation, nausea, light-headedness, discomfort or pain in the head or eyes, drowsiness, decreased ability to multi-task, fatigue, or any symptoms similar to motion sickness, all of which can persist and become more apparent hours after use and which may lead to an increased risk of injury when engaging in normal activities in the real world after leaving the Premises. *
Required
If I and/or my child/ward are injured, I acknowledge that I and/or my child/ward may require medical treatment, which I acknowledge will be at my own expense or the expense of my personal insurer(s). I hereby represent/affirm that I have adequate insurance to provide coverage for such medical expenses. I understand and agree that Spaces VR will not pay for any cost or expenses incurred by me if I and/or my child/ward are injured. *
Required
I agree to hold harmless and indemnify Spaces VR from any and all liability for any property damage or personal injury to any third party resulting from my use of Spaces VR virtual reality equipment. I also agree to indemnify and fully compensate Spaces VR for any property damage I cause to Spaces VR property, including but not limited to Spaces VR virtual reality equipment, resulting from my negligent use of Spaces VR virtual reality equipment. Furthermore, should Spaces VR or anyone acting on its behalf be required to incur legal fees and costs to enforce this agreement, I agree to indemnify and hold Spaces VR harmless from all such fees and costs. *
Required
I HAVE READ AND UNDERSTAND THIS DOCUMENT AND I AM AWARE THAT BY SIGNING THIS ASSUMPTION AND ACKNOWLEDGMENT OF RISK I AND/OR MY CHILD/WARD SURRENDER CERTAIN LEGAL RIGHTS.I SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT.
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