Escape Room Liability Waiver Form

Participant Agreement, Release, and Acknowledgement of Risks

Participant Information:

Full Name: [FULL NAME]
Date of Birth: [DATE OF BIRTH]

Understanding and Acceptance of Risks

I, [FULL NAME], understand and acknowledge the following:

  1. Potential Risks: Participating in escape room activities can be physically and mentally challenging and may present potential risks. These risks can range from minor injuries to severe psychological distress.
  2. Voluntary Participation: I am voluntarily choosing to take part in the escape room activity, and I understand the nature and extent of the risks involved.
  3. Health and Safety: I affirm that I am in good health, and I am not under the influence of alcohol, drugs, or any other substances that could impair my judgment or physical capabilities. I will abide by all safety instructions and guidelines provided by [ESCAPE ROOM COMPANY NAME].

Liability Release

I hereby release and indemnify [ESCAPE ROOM COMPANY NAME], its agents, employees, and other participants from any claims, damages, liabilities, or demands resulting from any harm, injury, or distress I might sustain while participating in the escape room activities.

For Participants Under 18 Years of Age

If the participant is under 18 years of age, a parent or guardian must read and sign this waiver.

I, [PARENT/GUARDIAN FULL NAME], as the parent or guardian of the above-named minor, have read and understood this waiver and consent to its terms on behalf of my child.

Participant Signature and Contact Details

Participant is Age 18.

Name: Mobile Phone: Email:


Full Name: ____________________________
Phone: ____________________________
Email: ____________________________
Signature: ____________________________ Date: __________
Emergency Contact Name: ____________________________
Emergency Contact Phone: ____________________________

For Participants Under 18:

Parent/Guardian Name: ____________________________
Parent/Guardian Signature: ____________________________ Date: __________

*Note: This Escape Room Liability Waiver Form is intended as a general guideline. It's crucial to consult with a legal expert in your jurisdiction to ensure its enforceability and compliance with local laws.