XIT Escape Room Accident/Release of Liability Waiver and Media Release Authorization

XIT ESCAPE ROOM
3800 Gulf Shores Parkway STE 152
Gulf Shores, AL 36542 
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH XIT ESCAPE ROOM LLC, including but not limited to, any risks that may arise from negligence or carelessness on the part of the persons or entities being released (XIT ESCAPE ROOM LLC), 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 inherent risks including but not limited to:
 
1. Mental stress and anxiety
2. Confinement in a small space with multiple persons
3. Potential of failure to escape the room within the 60 minute allotted time
4. Use of simple tools and manipulatives
5. Potentially moving or lifting objects weighing no more than ten pounds
6. Physical activity
 
I certify that I have no physical or mental illness that precludes me from participating in this activity 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 /Release of Liability Waiver and Media Release authorization 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, at their sole discretion, determine it unsafe for myself or others for my participation to continue, remove me from the premises by their authorization or any lawful means.
 
In consideration of my participation in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
 
1. 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 (XIT ESCAPE ROOM LLC), for my death, disability, personal injury, property damage, property theft, or actions of any kind which may occur to me, THE FOLLOWING ENTITIES OR PERSONS: The directors, officers, registered agents, owners, employees, volunteers, representatives, and agents of any and all entities authorizing this activity, including but not limited to: the property owners.
 
2. INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons (XIT ESCAPE ROOM LLC) mentioned in this form 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, registered agents, owners, employees, volunteers, representatives, and agents of any authorizing entity(XIT ESCAPE ROOM LLC) are NOT RESPONSIBLE for errors, omissions, acts, or failures to act of any party or entity conducting specific activity on their behalf.
 
I hereby consent to receive medical treatment which may be deemed advisable by the released entity (XIT ESCAPE ROOM LLC) in the event of injury, accident, and/or illness during this activity.
 
I understand that while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose this authorizing entity (XIT ESCAPE ROOM LLC) determines to be conducive to marketing this business.
 
I understand I am responsible for any damage to property and/or persons due to my negligence and/or rule non-adherence.
 
This Accident/Release of Liability Waiver and Media Release Authorization shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
 
XIT Rules: 
DO NOT MOVE, CLIMB ON OR FLIP ANY FURNITURE
NO FOOD OR DRINK INSIDE THE GAME ROOMS
ALL CELL PHONES CAMERAS, LIGHTERS, FLASHLIGHTS, TOOLS AND WEAPONS MUST BE SECURED IN A LOCKER
DO NOT USE BRUTE FORCE
YOU ARE RESPONSIBLE FOR ANY DAMAGES
DO NOT SHAKE ITEMS AS THEY MAY BE FRAGILE
DO NOT DRAW OR WRITE ON ANY ITEMS, WALLS, OR FLOORS
DO NOT TOUCH ITEMS WITH ORANGE X’S
WE RESERVE THE RIGHT TO REFUSE SERVICE TO ANYONE WE BELIEVE IS IN AND ALTERED STATE OF MIND
DO NOT STICK ANYTHING IN ELECTRICAL OUTLETS
DO NOT EAT OR DRINK ANYTHING THAT IS IN THE ROOMS
EVERYTHING THAT IS SUPPOSED TO OPEN WILL OPEN EASILY
YOU ARE RESPONSIBLE FOR ANY ITEMS YOU ACCIDENTALLY LEAVE WITH
DO NOT PLAY IF YOU HAVE PRE-EXISTING MEDICAL CONDITIONS
ABSOLUTELY NO SMOKING

Participants Information

Are you the guardian of any players under 19? *
I CERTIFY THAT I HAVE READ THE DOCUMENT ABOVE AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY, MEDIA AUTHORIZATION, AND A CONTRACT, AND I SIGN IT OF MY OWN FREE WILL AS A PLAYER AND OR GUARDIAN. *
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