This(form(must(be(signed(by(or(for(each(participant.(Please(read(carefully(before(signing.( ! BDP$Escape,$LLC$(Assumed$n
TRAPPED!(ESCAPE(THE(ROOM(.(ESCAPE(AGREEMENT(AND(LIABILITY(RELEASE(FORM( This(form(must(be(signed(by(or(for(each(participant.(Please(read(carefully(before(signing.( ! BDP$Escape,$LLC$(Assumed$name:$Trapped!$Escape$the$Room),$hereinafter$known$as$Trapped!$Escape$the$Room.$ Location:$3521$50th$Street,$Lubbock,$TX$79414.$ $ PHYSICAL$INJURY$MAY$RESULT$FROM$YOUR$PARTICIPATION$IN$THIS$ACTIVITY.$TRAPPED!$ESCAPE$THE$ROOM$DOES$NOT$ GUARANTEE$YOUR$SAFETY.$IT$IS$HEREBY$AGREED$TO$AS$FOLLOWS$THAT:$ $ We,$the$following$individuals$hereinafter$known$as$the$“ESCAPEES”,$or$the$parents$or$legal$guardians$thereof$if$a$minor,$do$hereby$ voluntarily$request$and$agree$to$participate$in$the$room$escape$on$the$premises$of$TRAPPED!$ESCAPE$THE$ROOM.$ $ This$agreement$shall$be$legally$binding$upon$us$the$registered$ESCAPEES,$and$the$parents$or$legal$guardians$thereof$if$a$minor,$our$heirs,$ estates,$assigns,$including$all$minor$children,$and$personal$representatives;$and$it$shall$be$interpreted$according$to$the$laws$of$the$State$ of$Texas.$Any$disputes$by$the$ESCAPEES$shall$be$litigated$in$and$venue$shall$be$the$State$of$Texas.$ $ In$consideration$of$TRAPPED!$ESCAPE$THE$ROOM$allowing$our$participation$in$this$activity,$under$the$terms$set$$forth$herein,$we,$the$ ESCAPEES,$and$the$parents$or$guardians$thereof$if$a$minor,$do$agree$to$hold$harmless$and$release$TRAPPED!$ESCAPE$THE$ROOM,$its$ owners,$agents,$employees,$officers,$members,$premises$owners,$insurers,$and$affiliated$organizations$from$legal$liability$due$to$ TRAPPED!$ESCAPE$THE$ROOM$ordinary$negligence;$and$we$do$further$agree$that!except!in!the!event!of!TRAPPED!$ESCAPE$THE$ROOM$ gross!negligence!and!willful!and!wanton!misconduct,$I$shall$not$bring$any$claims,$demands,$legal$actions$and$causes$of$action,$against$ TRAPPED!$ESCAPE$THE$ROOM$and/or$its$associates,$for$any$economic$and$nondeconomic$losses$due$to$bodily$injury,$death,$property$ damage,$sustained$by$me$and/or$my$minor$child$or$legal$ward$in$relation$to$the$premises$and$operations$of$TRAPPED!$ESCAPE$THE$ ROOM,$to$include$escaping$or$being$in$one$of$the$Escape$Rooms$on$the$premises$of$TRAPPED!$ESCAPE$THE$ROOM.$ $ All$Escapees$or$Legal$Guardians$must$sign$below$after$reading$this$entire$document:$ $ SIGNER(STATEMENT(OF(AWARENESS( $ I/WE,$THE$UNDERSIGNED,$HAVE$READ$AND$DO$UNDERSTAND$THE$FOREGOING$AGREEMENT,$WARNINGS,$RELEASE$AND$ ASSUMPTION$OF$RISK.$I/WE$FURTHER$ATTEST$THAT$ALL$FACTS$RELATING$TO$THE$APPLICANT$ARE$TRUE$AND$ACCURATE.$ $ Adults$(18$and$older),$sign$here:$ $ _______________________________________________$$$$$$$$$$$$_________________________________________________$$$$$$$$$$$_____________________________$ SIGNATURE$ $ $ $ WRITTEN$NAME$ $ $ $ $$$DATE$ $ _______________________________________________$$$$$$$$$$$$_________________________________________________$$$$$$$$$$$_____________________________$ SIGNATURE$ $ $ $ WRITTEN$NAME$ $ $ $ $$$DATE$ $ _______________________________________________$$$$$$$$$$$$_________________________________________________$$$$$$$$$$$_____________________________$ SIGNATURE$ $ $ $ WRITTEN$NAME$ $ $ $ $$$DATE$ $ _______________________________________________$$$$$$$$$$$$_________________________________________________$$$$$$$$$$$_____________________________$ SIGNATURE$ $ $ $ WRITTEN$NAME$ $ $ $ $$$DATE$ $ _______________________________________________$$$$$$$$$$$$_________________________________________________$$$$$$$$$$$_____________________________$ SIGNATURE$ $ $ $ WRITTEN$NAME$ $ $ $ $$$DATE$ $ _______________________________________________$$$$$$$$$$$$_________________________________________________$$$$$$$$$$$_____________________________$ SIGNATURE$ $ $ $ WRITTEN$NAME$ $ $ $ $$$DATE$ $ _______________________________________________$$$$$$$$$$$$_________________________________________________$$$$$$$$$$$_____________________________$ SIGNATURE$ $ $ $ WRITTEN$NAME$ $ $ $ $$$DATE$ $ Legal$guardian$of$minor$(17$and$younger),$sign$here:$ $ _______________________________________________$$$$$$$$$$$_________________________________________________$$$$$$$$$$______________________________$ SIGNATURE$OF$LEGAL$GUARDIAN$$$$$$$ WRITTEN$NAME$OF$MINOR$$ $ $DATE$ $ _______________________________________________$$$$$$$$$$$_________________________________________________$$$$$$$$$$______________________________$ SIGNATURE$OF$LEGAL$GUARDIAN$$$$$$$ WRITTEN$NAME$OF$MINOR$$ $$$$ $DATE$ $ _______________________________________________$$$$$$$$$$$_________________________________________________$$$$$$$$$$______________________________$ SIGNATURE$OF$LEGAL$GUARDIAN$$$$$$$ WRITTEN$NAME$OF$MINOR$$ $$$$ $DATE$
