ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM

I ASSUME ALL OF THE RISKS OF PARTICIPATION IN ANY/ALL ACTIVITIES ASSOCIATED WITH HOMETOWN ESCAPES, including by way of example and not limitation, any risk that may arise from negligence or carelessness on part of any persons or entities being released.

I certify that I understand this activity has potential risks including but not limited to:

1. Use of simple tools                    4.. Potential moving or lifting objects of not more than 20 lbs  
2. Mental stress or anxiety            5, Possibility of failure to escape the room in the allotted time
3. Being in a reasonably small space with up to 10 people

I have no physical or mental illness that precludes participation in a safe manner for myself and others. I am not under the influence of drugs or alcohol which impairs my ability to maintain my safe awareness or endangers others.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by Hometown Escapes in which I voluntarily participate and that it will govern my actions and responsibilities at the activities in the escape rooms. I agree that all staff or authorized agents may, in their sole discretion, determine it is unsafe for myself and others to continue our participation and cease our participation and remove me from the premises by any lawful means. In consideration of my application and permitting my to participate 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 liability, including but not limited to, liability arising from the negligence of fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me, THE FOLLOWING ENTITIES OR PERSONS: the directors, officers, employees, volunteers, representatives, and agents of any and all entities authorizing this activity.
2. INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence or release or otherwise.

I acknowledge that the directors, officers, employees, volunteers, representatives, and agents or any authorizing entity are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.

I understand 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 decides and assigns.

I understand by providing my email address, I authorize Hometown Escapes or their designated agent to contact me for promotional purposes, coupons or other purposes deemed reasonable.

The Accident and Release of Liability Waiver form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.