I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that the Crypt of Agramon has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that the Crypt of Agramon can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, and other clients and their families.
I voluntarily seek services provided by the Crypt of Agramon and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.
I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty
breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* I have not traveled internationally within the last 14 days.
* I have not traveled to a highly impacted area within the United States of America in the last 14
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of
* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious
by provincial or local public health authorities.
* I am following all CDC recommended guidelines as much as possible and limiting my
exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold the Crypt of Agramon and Scott McClelland harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the facility, or that may otherwise arise in any way in connection with any services received from the Crypt of Agramon and Scott McClelland, I understand that this release discharges the Crypt of Agramon and Scott McClelland from any liability or claim that I, my heirs, or any personal representatives may have against the facility with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from the Crypt of Agramon and Scott McClelland. This liability waiver and release extends to the facility together with all owners, partners, and employees.
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THE ESCAPE ROOM, including but not limited to, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, 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 risks including but not limited to:
1. Use of simple tools;
2. Potentially moving or lifting objects of no more than fifteen pounds;
3. Mental stress and anxiety;
4. Being confined to a small space;
5. Possibility of failure to escape the room in the allotted time;
6. Loud noises, intense and flashing lights and confined spaces;
7. Bending over or crawling.
I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions given by the Crypt of Agramon and Scott McClelland, or the employees, contractors, representatives or agents of the Crypt of Agramon.
By execution hereunder, I certify that I have no physical or mental illness that precludes my participation in a safe manner for myself or others. I am not under the influence of drugs or alcohol that impairs my ability to maintain my safety awareness or endangers others.
I acknowledge that this release of liability form will be used by the organizers of the activity, including the escape room, 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 is unsafe for myself or others or my participation to continue, and remove me from the premises by any lawful means. Furthermore, I agree to pay restitution for any damages to the facilities and property of the Crypt of Agramon caused by my or others
in my group as a result of my or our negligent, reckless, or willfully destructive actions.
In consideration for permitting me to participate in this activity, I hereby take action and declare 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, 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 Crypt of Agramon, its directors, officers, employees, volunteers, representatives, contractors and agents of any and all entities authorizing this activity (the Released Parties); and
2. INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE OR OTHERWISE TAKE ANY LEGAL ACTION against the Released Parties from any and all liabilities of claims made as a result of participation in this activity, whether caused by the negligence of the Released Parties or otherwise.
3. I acknowledge that the directors, officers, employees, volunteers, representatives, and agents of any authorizing entity are not responsible for the errors, omissions, acts, or failure 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 or videotaped. I agree to allow my photo or film likeness/sound footage to be used for any legitimate purpose that the Crypt of Agramon, or its agents, employees, contractors, successors or assigns decide. In addition, the rights to such photographs or video footage shall be the sole and absolute property of the Crypt of Agramon, or it’s agents, employees, contractors, successors or assigns.
This release of liability 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 IT’S CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT, AND I SIGN IT OF MY OWN FREE WILL. I ACKNOWLEDGE THAT THE CRYPT OF AGRAMON HAS OFFERED TO REFUND ANY FEES I HAVE PAID SHOULD I CHOOSE NOT TO SIGN THIS AGREEMENT, AND THEREFORE NOT PARTICIPATE IN THIS ACTIVITY.