WAIVER Waiver & Safety Agreement – Read Before You Smash Name * First Name Last Name Email * Subject * Message * Date of Birth * MM DD YYYY Phone Number (###) ### #### Emergency Contact Name & Number * Country (###) ### #### Checkbox I am signing for a minor under 18 INSANITY RAGE ROOM ATHENS GAPARTICIPANT LIABILITY WAIVER & RELEASE AGREEMENT * 1. ASSUMPTION OF RISK I, [Participant's Full Name], acknowledge that participation in Insanity Rage Room Athens GA involves activities that may result in physical injury, emotional stress, or property damage. I understand that the activities include but are not limited to: - Breaking objects with tools (e.g., bats, hammers, crowbars) - Exposure to sharp or flying debris - Physical exertion that may cause injury I voluntarily assume all risks associated with participation, including injury, loss, or damage, whether caused by my actions, the actions of others, or unforeseen circumstances. 2. RELEASE OF LIABILITY In consideration of being allowed to participate, I, on behalf of myself, my heirs, assigns, and representatives, hereby release, discharge, and hold harmless Insanity Rage Room Athens GA, its owners, employees, and affiliates from any and all claims, demands, damages, or legal actions arising from my participation, including but not limited to: - Personal injury or death - Property damage or loss - Negligence of Insanity Rage Room Athens GA or any third party 3. SAFETY RULES & AGREEMENT I agree to abide by all safety guidelines, including but not limited to: - Wearing required safety gear (helmet, gloves, protective eyewear) at all times - Following all staff instructions and facility rules - No physical aggression toward other participants or staff - No participation under the influence of alcohol, drugs, or impairing substances - Using equipment responsibly and only in designated areas I understand that failure to follow these rules may result in immediate removal without refund. 4. MEDICAL CONSENT & EMERGENCY CARE I certify that I am physically able to participate and have no medical conditions that would increase the risk of injury. In case of emergency, I authorize Insanity Rage Room Athens GA to seek medical treatment on my behalf if necessary. 5. MEDIA RELEASE (OPTIONAL) I DO / I DO NOT consent to the use of my image and likeness in promotional materials. I Agree I do not Agree Thanks for your submission Still have Questions? Contact us
