This ("Agreement") dated this day in the completed form below, BETWEEN the "Participant" (listed in form below) OF THE FIRST PART AND Mission Escape
LLC of 4904 W Kenosha Street, Broken Arrow, OK 74012 (the "Activity Provider") OF THE SECOND PART
IN CONSIDERATION OF the covenants and agreements contained in this Agreement and other good and
valuable consideration, the receipt of which is hereby acknowledged, the parties to this Agreement agree as
follows:
Consideration
Being of lawful age and in consideration of being permitted to participate in the activity described below, the
Participant releases and forever discharges the Activity Provider, its owners, directors, officers, employees,
agents, assigns, legal representatives and successors from all manner of actions, causes of action, debts,
accounts, bonds, contracts, claims and demands for or by reason of any injury to person or property, including
injury resulting in the death of the Participant, which has been or may be sustained as a consequence of the
Participant's participation in the activity described below, and not withstanding that such damage, loss or injury
may have been caused solely or partly by the negligence of the Activity Provider. The Participant understands
that the Participant would not be permitted to participate in the activity described below unless the Participant
signed this Agreement.
Details of Activity
The Participant will participate in the following activity: Escape Room Activity.
Concurrent Release
The Participant acknowledges that this Agreement is given with the express intention of effecting the
extinguishment of certain obligations owed to the Participant and with the intention of binding the Participant's
spouse, heirs, executors, administrators, legal representatives and assigns.
Fitness to Participate
The Participant acknowledges that the Participant does not have any physical limitations, medical ailments,
physical or mental disabilities that would limit or prevent the Participant from participating in the above
mentioned activity. If required, the Participant will obtain a medical examination and clearance.
Full and Final Settlement
The Participant hereby acknowledges and agrees that the Participant has carefully read this Agreement, that the
Participant fully understands the same, and that the Participant is freely and voluntarily executing the same.
The Participant understands that by signing this Agreement, the Participant agrees to be forever prevented from
suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the
Participant may sustain while participating in or preparing for the above noted activity.
The Participant has been given the opportunity and has been encouraged to seek independent legal advice prior
to signing this Agreement.
This Agreement contains the entire agreement between the parties to this Agreement and the terms of this
Agreement are contractual and not a mere recital.
Governing Law
This Agreement will be governed by and construed in accordance with the laws of the State of Oklahoma.
Mission Escape 4904 W Kenosha St., Broken Arrow, OK (539) 302-8940
***FOR PARTICIPANTS UNDER 18
FOR VERIFICATION PURPOSES, YOUR PARENT/ LEGAL GUARDIAN MUST SIGN FOR YOU IN PERSON AT CHECK-IN FOR YOUR APPOINTMENT. IF THEY ARE NOT THERE TO VERIFY, YOU WILL NOT BE ALLOWED TO PARTICIPATE, AND WILL NOT BE ELIGIBLE FOR RESCHEDULE/REFUND.
NO EXCEPTIONS
Participant's full name as signature below