VR Playground LLC's COVID-19 Assumption of Risk, Release of Liability & Photo Rights - 2021

Registering for Online Waiver - 03/26/2021 12:00 AM - 12/31/2021 12:00 AM Change

COVID-19 WAIVER

 

COVID-19 Symptom-Free Acknowledgement

*I have not had any known close contact with a person confirmed or suspected to have COVID-19 in the past 14 days

*I have not traveled within a state with significant community spread of COVID-19 for longer than 24 hours within the past 14 days

*I am not currently experiencing ANY of the following symptoms:

  *Cough (new or worsening)

  *Shortness of breath (new or worsening)

  *Troubled Breathing (new or worsening)

  *Fever

  *Chills

  *Muscle Pain (new or worsening)

  *Headache (new or worsening)

  *Sore Throat (new or worsening)

  *New loss of taste

  *New loss of smell

*I have not tested positive for COVID-19 through a diagnostic test in the past 14 days

 

COVID-19 Liability Release

I recognize that there are certain inherent risks associated with participation in activities at VR Playground, LLC, regarding COVID-19.  I acknowledge the contagious nature of COVID-19 and understand that CDC and public health authorities recommend the practice of social distancing and I assume full responsibility for personal injury to myself, (and if applicable) my family members, and further release and discharge VR Playground, LLC, from injury, loss, or damage, out of my or my family's use of or presence upon the facilities of VR Playground, LLC, whether caused by the fault of myself, my family, VR Playground, LLC, or other third parties.    

 

VIRTUAL REALITY PARTICIPATION WAIVER

 

 Release of Liability

Due to the unpredictable nature of the human response to virtual reality (dizziness, nausea, seizures, fear of heights, bumping into objects, etc.), we require all participants to sign this waiver releasing VR Playground, LLC, from any liability regarding your (or your child/dependent/minor's) use of the HTC Vive, and/or any of VR Playground, LLC’s equipment. 

Safety Warnings

Consult your doctor before using the product if you have pre-existing serious medical conditions (such as a heart ailment), conditions that affect your ability to safely perform physical activities, psychiatric conditions (such as anxiety disorders or post-traumatic stress disorder), or if you are pregnant or elderly.

Do not use the product if you are sick, fatigued, under the influence of intoxicants/drugs, or are not feeling generally well, as it may exacerbate your condition.

Risk of Injury

In consideration of the risk of injury while participating in experiences at VR Playground, LLC, and as consideration for the right to participate, I hereby, for myself, my heirs, executors, administrators, assigns or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in this activity, Virtual Reality, and do hereby release and forever discharge VR Playground, LLC, located at 376 Jefferson Rd, Rochester, NY 14623, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss, that I may suffer as a direct result of my participation in the aforementioned Virtual Reality activity.

In the event that I should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.  

Voluntary Participation

I am voluntarily participating in the aforementioned activity, Virtual Reality, and am participating in the activity entirely at my own risk.  I am aware of the risks associated with participating in this activity, Virtual Reality, which may include, but are not limited to, physical or psychological injury, pain, suffering, temporary or permanent disability, economic or emotional loss, and death. I understand that these injuries and outcomes may arise from my own or others’ negligence, or the condition of the activity, Virtual Reality.  Nonetheless, I assume all related risks, both known and unknown to me, of my participation in this activity. 

Respect for Equipment & Facilities

In the event that any damage to equipment or facilities occurs as a result of my willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness. 

Required Signature

I understand that I must sign this Release of Liability before I, or the minor I am giving permission for, may use any of VR Playground, LLC’s equipment.    

PHOTO/VIDEO WAIVER

 

Photo/Video Release

I hereby grant the VR Playground permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

 

I understand and agree that all photos will become the property of the VR Playground, LLC, and will not be returned.

 

I hereby irrevocably authorize VR Playground, LLC, to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

 

I hereby hold harmless, release, and forever discharge VR Playground, LLC, from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

 

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW.

Who will be participating?

Adult  Adult and Children  Children

Parent / Guardian Information

* Optional:

Create a password to save time and auto-fill your information on your next visit!

Sign Here

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.