Name Email Phone Number

Adult (18 & over)

Minors (Under 18)




LIABILITY WAIVER AND RELEASE, TERMS OF USE, AND MODEL RELEASE

I do hereby certify that I am an adult; that I am mentally and physically fit; that I understand the risks of and regularly participate in recreational activities; and that I am fully competent to execute this Liability Waiver and Release, Terms of Use, and Model Release.

I. LIABILITY WAIVER AND RELEASE

I understand that I will be participating in an Event offered by Great Room Escape SLC, LLC, as a franchisee of Great Room Escape, LLC (collectively “Great Room Escape”), which will consist of a high intensity escape game in which I, along with other participants, will attempt to solve a series of puzzles with the goal of escaping from a room in a simulated high-stress scenario (the “Event”).

I certify that I am in good physical condition and fully able to participate in this Event. I understand and acknowledge that I am fully aware of and do hereby assume the risks of property loss or damage, serious bodily injury or death, that are potentially present in participating in the Event and from otherwise using Great Room Escape facilities, including but not limited to: accidents involving running, jumping, falling, contact with walls, other patrons and/or actors, and heart attack, stroke, and other stress-induced medical conditions.

Knowing the risks described above, I hereby agree to assume all risks and responsibilities arising from my participation in the Event. To the fullest extent allowed by law, I AGREE TO RELEASE FROM ANY LEGAL LIABILITY, AGREE NOT TO SUE AND FURTHER AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS GREAT ROOM ESCAPE, AND ALL OF ITS OWNERS, OFFICERS, EMPLOYEES, AGENTS, SUCCESSORS AND/OR ASSIGNS FROM ANY AND ALL LOSS RESULTING FROM INJURY, DEATH OR PROPERTY DAMAGE IN CONNNECTION WITH MY PARTICIPATION IN THE EVENT AND/OR OTHER USE OF GREAT ROOM ESCAPE FACILITIES, REGARDLESS OF THE CAUSE, INCLUDING THE NEGLIGENCE OF GREAT ROOM ESCAPE, ITS OWNERS, OFFICERS, EMPLOYEES, AGENTS, SUCCESSORS AND/OR ASSIGNS.

II. TERMS OF USE

CELLULAR PHONES, CAMERAS, AUDIO AND VIDEO RECORDERS AND OTHER ELECTRONIC DEVICES ARE STRICTLY PROHIBITED. No photography or sound or video recording is allowed inside the Event. Purses, backpacks and other large bags are also prohibited. The use of any camera, video or sound recorder, cellular phone or any other wireless electronic device is grounds for immediate expulsion from the Event and confiscation of any photographs or recordings made in violation of these terms.

For the convenience of its Event participants, Great Room Escape offers facilities in which cellular phones and other personal items may be secured. Event participants are solely responsible for securing any personal items brought to the premises.  Great Room Escape is not responsible for any lost, stolen or damaged personal property.

NO FOOD OR DRINK IS PERMITTED IN THE EVENT.

CHILDREN. Children under the age of 10 are not permitted in the Event. All children under age 12 must be accompanied by an adult inside the Event, and their parent or legal guardian must sign an appropriate parent’s consent before these children may participate.

TICKET SALES ARE NON-REFUNDABLE. No refunds shall be given in the event of cancellation. However, ticket holders may reschedule an Event by providing 1 hour prior notice of cancellation before the scheduled Event. In the event of an emergency such as physical injury or illness or natural disaster occurring within the 1-hour window, Great Room Escape may, at its discretion, allow for rescheduling of cancellations made fewer than 1 hour before the cancelled Event. All events require a minimum of 4 participants. If fewer than 4 participants are signed up within 1 hour of the event, Great Room Escape will notify all ticket holders for the scheduled Event that it will be cancelled for lack of participants and provide available dates to reschedule. Regardless of the reason for cancellation, all cancelled Events must be rescheduled for a date within 90 days of the original Event date.

I acknowledge that I have carefully read and understand these Terms of Use and that I will abide by them at all times. I understand that violating any of these Terms of Use subjects me to immediate expulsion from the premises without any refund or other compensation for any portion of the Event that I am ejected from.

III.MODEL RELEASE

I understand that participants of the Event have the opportunity to pose for optional photographs before and/or after the Event, which they may then access and share online or purchase as prints. However, all photographs taken on the premises are the property of Great Room Escape. These photographs may, at Great Room Escape’s sole discretion, be used for promotional purposes without any prior notification to Event participants.

I UNDERSTAND THAT BY PARTICIPATING IN THIS PHOTO OPPORTUNITY, I GRANT GREAT ROOM ESCAPE SLC, LLC THE UNLIMITED RIGHT TO USE ANY PHOTOGRAPHS RESULTING THEREFROM CONTAINING MY IMAGE, LIKENESS, ACTIONS AND/OR STATEMENTS IN ANY TRANSMISSION, PUBLICATION OR REPRODUCTION IN ANY MEANS OR CIRCUMSTANCES, AND WITHOUT ANY FURTHER PERMISSION FROM OR COMPENSATION TO ME.

I acknowledge that if I do not wish to allow Great Room Escape to use my image or likeness as stated above, I will “OPT OUT” of the above-described photo opportunity by not participating and clearly informing the photographer that I do not want to participate. I understand that opting out of the photo opportunity does not in any way otherwise affect my participation in the Event, and it does not entitle me to any discount, rebate or refund of any portion of the admission price.

IV. ADDITIONAL TERMS

I agree that this Liability Waiver and Release, Terms of Use and Model Release is intended to be as broad and inclusive as permitted by law, and that it shall be governed by the laws of the State of Utah. I agree that if any provision of this Liability Waiver and Release, Terms of Use, and Model Release is held to be invalid by any court of competent jurisdiction, the invalidity of any such provision shall not otherwise affect its remaining provisions hereof, which shall continue to be enforceable. I understand and agree that no oral or written representations can or will alter the contents of this Liability Waiver and Release, Terms of Use, and Model Release. I agree that this Liability Waiver and Release, Terms of Use and Model Release shall also be binding upon my heirs, successors and assigns.

I HAVE CAREFULLY READ AND UNDERSTAND THIS LIABILITY WAIVER AND RELEASE, TERMS OF USE AND MODEL RELEASE. I VERIFY THAT MY ELECTRONIC SIGNATURE BELOW CONSTITUTES MY ACCEPTANCE AND EXECUTION OF THIS LIABILITY WAIVER OF RELEASE, TERMS OF USE AND MODEL RELEASE, AND MY AGREEMENT TO ABIDE BY ALL OF ITS TERMS AND CONDITIONS.

Participants
First Name Last Name Birth Date

LIABILITY WAIVER AND RELEASE, TERMS OF USE, AND MODEL RELEASE (Minor)

I do hereby certify that I am the adult parent or legal guardian of the children listed below, that I am authorized and competent to understand the risks of his or her participation in recreational activities and to grant consent to his or her participation therein, and to waive liability and execute releases on behalf of said minor child, and that I do hereby consent to his or her participation in Events offered by Great Room Escape SLC, LLC, a franchisee of Great Room Escape, LLC (collectively “Great Room Escape”), which will consist of a high intensity escape game in which my child and other participants will attempt to solve a series of puzzles with the goal of escaping from a room in a simulated high-stress scenario (the “Event”).

I. LIABILITY WAIVER AND RELEASE

I certify that my minor child is in good physical and mental condition, and is fully able to participate in this Event. I understand and acknowledge that I am fully aware of and assume the risks of serious bodily injury, death, property loss or damage that may occur in connection with my minor child participating in the Event and from otherwise using Great Room Escape facilities, including but not limited to: accidents involving running, jumping, falling, contact with walls, other patrons and/or actors, and heart attack, stroke, and other stress-induced medical conditions.

Knowing the risks described above, I hereby agree personally and on behalf of my minor child named above to assume all risks and responsibilities arising from my minor child’s participation in the Event. To the fullest extent allowed by law, MY MINOR CHILD AND I AGREE TO RELEASE FROM ANY LEGAL LIABILITY, AGREE NOT TO SUE AND FURTHER AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS GREAT ROOM ESCAPE, AND ALL OF ITS OWNERS, OFFICERS, EMPLOYEES, AGENTS, SUCCESSORS AND/OR ASSIGNS FROM ANY CLAIMS MY CHILD OR I MAY HAVE FOR THE LOSS, PROPERTY DAMAGE, INJURY OR DEATH TO MY CHILD RESULTING FROM MY CHILD’S PARTICIPATION IN THE EVENT AND/OR OTHER USE OF GREAT ROOM ESCAPE FACILITIES, REGARDLESS OF THE CAUSE, INCLUDING THE NEGLIGENCE OF GREAT ROOM ESCAPE, ITS OWNERS, OFFICERS, EMPLOYEES, AGENTS, SUCCESSORS AND/OR ASSIGNS.

II. TERMS OF USE

CELLULAR PHONES, CAMERAS, AUDIO AND VIDEO RECORDERS AND OTHER ELECTRONIC DEVICES ARE STRICTLY PROHIBITED. No photography or sound or video recording is allowed inside the Event. Purses, backpacks and other large bags are also prohibited. The use of any camera, video or sound recorder, cellular phone or any other wireless electronic device is grounds for immediate expulsion from the Event and confiscation of any photographs or recordings made in violation of these terms.

For the convenience of its Event participants, Great Room Escape offers facilities in which cellular phones and other personal items may be secured. Event participants are solely responsible for securing any personal items brought to the premises. Great Room Escape is not responsible for any lost, stolen or damaged personal property.

NO FOOD OR DRINK IS PERMITTED IN THE EVENT.

CHILDREN Children under the age of 10 are not permitted in the Event. All children under age 12 must be accompanied by an adult inside the Event, and their parent or legal guardian must read and sign this document before these children may participate.

TICKET SALES NON-REFUNDABLE. No refunds shall be given in the event of cancellation. However, ticket holders may reschedule an Event by providing 1 hour prior notice of cancellation before the scheduled Event. In the event of an emergency such as physical injury or illness or natural disaster occurring within the 1-hour window, Great Room Escape may, at its discretion, allow for rescheduling of cancellations made fewer than 1 hour before the cancelled Event. All events require a minimum of 4 participants. If fewer than 4 participants are signed up within 1 hour of the event, Great Room Escape will notify all ticket holders for the scheduled Event that it will be cancelled for lack of participants and provide available dates to reschedule. Regardless of the reason for cancellation, all cancelled Events must be rescheduled for a date within 90 days of the original Event date.

I acknowledge that I have read and understand these Terms of Use and that my minor child and I will abide by them at all times. I understand that violating any of these Terms of Use subjects me and/or my minor child to immediate expulsion from the premises without any refund or other compensation for any portion of the Event that we are ejected from.

III.MODEL RELEASE

I understand that participants of the Event have the opportunity to pose for optional photographs before and/or after the Event, which they may then access and share online or purchase as prints. However, all photographs taken on the premises are the property of Great Room Escape. I understand and agree that these photographs may, at Great Room Escape’s sole discretion, be used for promotional purposes without any prior notification to Event participants.

I UNDERSTAND THAT BY ALLOWING MY CHILD TO PARTICIPATE IN THE PHOTO OPPORTUNITY, I GRANT GREAT ROOM ESCAPE SLC, LLC THE UNLIMITED RIGHT TO USE ANY PHOTOGRAPHS RESULTING THEREFROM CONTAINING MY MINOR CHILD’S IMAGE, LIKENESS, ACTIONS AND/OR STATEMENTS IN ANY TRANSMISSION, PUBLICATION OR REPRODUCTION IN ANY MEANS OR CIRCUMSTANCES, AND WITHOUT ANY FURTHER PERMISSION FROM OR COMPENSATION TO MY MINOR CHILD OR ME.

I acknowledge that if I do not wish to allow Great Room Escape to use my minor child’s image or likeness as stated above, I will OPT MY MINOR CHILD OUT of the above-described photo opportunity by not having my child participate and clearly informing the photographer that I do not want my minor child to participate. I understand that opting out of the photo opportunity does not in any way otherwise affect my minor child’s participation in the Event, and it does not entitle me or my minor child to any discount, rebate or refund of any portion of the admission price.

IV. ADDITIONAL TERMS

I agree that this Liability Waiver of Release, Terms of Use and Model Release is intended to be as broad and inclusive as permitted by law, and that it shall be governed by the laws of the State of Utah. I agree that if any provision of this Liability Waiver of Release, Terms of Use and Model Release is held to be invalid by any court of competent jurisdiction, the invalidity of any such provision shall not otherwise affect its remaining provisions hereof, which shall continue to be enforceable. I understand and agree that no oral or written representations can or will alter the contents of this Liability Waiver of Release, Terms of Use and Model Release. I agree that this Liability Waiver of Release, Terms of Use and Model Release shall be binding upon me, my minor child, and my and my minor child’s heirs, successors and assigns.

I HAVE CAREFULLY READ AND UNDERSTAND THIS LIABILITY WAIVER AND RELEASE, TERMS OF USE AND MODEL RELEASE. I VERIFY THAT MY ELECTRONIC SIGNATURE BELOW CONSTITUTES MY ACCEPTANCE AND EXECUTION OF THIS LIABILITY WAIVER OF RELEASE, TERMS OF USE AND MODEL RELEASE, AND MY AND MY MINOR CHILD’S AGREEMENT TO ABIDE BY ALL OF ITS TERMS AND CONDITIONS.

Participants
First Name Last Name Birth Date

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