Click here to download the waiver and fill in before you arrive
Rage Room Participation Waiver and Release of Liability
Participant Information:
Todays date:
Name: ___________________________________________
Age: _____________________________________________
Parent/Guardian Name (if under 18): ______________________
Address: __________________________________________
Phone Number: _____________________________________
Email: ____________________________________________
Emergency Contact Information:
Name: ____________________________________________
Relationship: ______________________________________
Phone Number: _____________________________________
RAGE ROOM STAFF TO TICK EACH POINT COVERED.
Acknowledgment of Risk:
I, the undersigned, acknowledge and understand that participating in a rage room activity involves inherent risks, including but not limited to:
Physical injury (e.g., cuts, bruises, sprains)
Emotional distress
Damage to personal property
I understand that the rage room environment includes the use of potentially dangerous equipment and materials, such as baseball bats, crowbars, sledgehammers, and breakable objects (glass, electronics, etc.).
Health and Safety:
I confirm that I am physically fit and do not suffer from any medical condition that may be aggravated by participating in the rage room activities.
I agree to wear all provided safety gear, including but not limited to helmets, gloves, and protective clothing, at all times while inside the rage room.
I will follow all instructions given by rage room staff and adhere to all posted safety rules and regulations.
When 2 are in the rage room, it is important to :
Take it in turns
Do NOT hit each other
Be aware of each other at all times
I agree to not hitting the wall and integral shelving with weapons
I understand that each person had 10 minutes inside the room.
I understand that violence towards staff will not be tolerated.
I understand
Participant Age and Supervision:
Participants must be 10 years of age or older.
Participants under 18 years of age must be accompanied by a parent or legal guardian.
Pregnancy
If you are pregnant please let a member of the team know.
It is recommended that you use the rage room alone to minimise risk of getting hurt.
Release of Liability:
In consideration of being allowed to participate in rage room activities, I hereby release, waive, discharge, and covenant not to sue Rage Room Leamington Spa, its owners, officers, employees, agents, and contractors from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by me or my property while participating in rage room activities.
Indemnification:
I agree to indemnify and hold harmless Rage Rooms.leamington spa from any loss, liability, damage, or costs, including court costs and attorney fees, that they may incur due to my participation in rage room activities, whether caused by the negligence of Rage Rooms Leamington spa or otherwise.
Media Release:
I grant Rage Rooms Leamington Spa permission to use photographs, video recordings, or other media of my participation for promotional purposes. I understand that I will not receive any compensation for such use.
Acknowledgment of Understanding:
I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this agreement freely and voluntarily and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
Participant Signature (if 18 or older):
Signature: ________________________________________
Date: ___________________________________________
Parent/Guardian Signature (if under 18):
Parent/Guardian Name: ____________________________
autograph________________________________________
Date: ___________________________________________
Rage Rooms Leamington Spa Representative:
Name: ___________________________________________
Autograph ________________________________________
Date: ___________________________________________
I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this agreement freely and voluntarily and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by
Date:
Date: