NOTE: RAGE Out does not accept paper waivers, please submit electronically.

TO: Rage Out Limited and their respective directors, officers, employees, guides, agents, representatives, volunteers, independent contractors, subcontractors, sponsors, successors and assigns (all of whom are hereinafter collectively referred to as the “Releases”).

DEFINITION
In this Release Agreement, the term “activities” shall include any use or participation in the Rage Out venue and related equipment, and any other activities, events or services provided, arranged, organised, sponsored or authorised by the Releases in any way associated or connected with the Rage Out.

ASSUMPTION OF RISKS
I can confirm I am over the age of 16 years old and also aware that the Activities involve unusual risks, dangers and hazards including, but not limited to: accidents which may occur in the facility; slips and falls; malfunction of the equipment used; injury and open wounds; shock, stress or other injury to the body while participating in the Activities; negligence on the part of other persons; and NEGLIGENCE ON THE PART OF THE RELEASES. I UNDERSTAND THAT NEGLIGENCE INCLUDES FAILURE ON THE PART OF THE RELEASES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE SPORTS. I acknowledge that the Activities may result in injury, worsening of an existing medical condition, or death. I freely accept and fully assume all such risks, dangers and hazards and the possibility of injury, death, property damage or loss resulting therefrom.

MEDICAL CONDITION
I understand that the Activities may place unusual stresses on the body. The Activities are not recommended for persons suffering from asthma, epilepsy, cardio/respiratory disorder, hypertension, or skeletal, joint or ligament problems or conditions, and certain mental illnesses. Women who are pregnant or suspect they are pregnant, and persons who have consumed alcohol, are not recommended to engage in the Activities. I have been advised to consult with my medical practitioner if I have any concern about my medical condition or fitness to engage in the Activities.

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
In consideration of the Releases agreeing to my participation in the Activities, and permitting my use of the Activities’ equipment, room and other facilities, I hereby agree as follows:

1. TO WAIVE ANY AND ALL CLAIMS AND TO RELEASE THE RELEASES from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my next of kin may suffer, as a result of my participation in the rage room, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE ON THE PART OF THE RELEASES; I COVENANT NOT TO MAKE OR BRING ANY SUCH CLAIM AGAINST THE RAGE ROOM N I OR ANY OTHER RELEASEE, AND FOREVER RELEASE AND DISCHARGE THEM FROM LIABILITY UNDER SUCH CLAIMS;
2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASES from any and all liability for any property damage or personal injury to any third party resulting from my participation in the Activities;
3. This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity;
4. This Release Agreement and any rights, duties and obligations as between the parties to this Release Agreement shall be governed by and interpreted solely in accordance with the laws of the United Kingdom and no other jurisdiction;
5. Any litigation involving the parties to this Release Agreement shall be brought solely within the county of Kent and shall be within the exclusive jurisdiction of the Courts of the United Kingdom.

PHOTO/VIDEO RELEASE
Photographs and videos being taken of me during my participation in the Activities, and to publication of the photographs and videos by the Releases for advertising, promotional and marketing purposes.

In entering into this Release Agreement, I am not relying on any oral or written representations or statements made by the Releases with respect to the safety of the Activities, other than what is set forth in this Release Agreement.

I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASES.

Please enter your legal name as it would appear on your passport.

Any other relevant information: