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Waiver Form

Please fill out the following form.

Date of birth
Year
Month
Day
I confirm I am physically and mentally capable of participating in all activities safely.
Yes
I confirm I am not under the influence of drugs or alcohol.
Yes
Media release checkbox
No
Yes
Are you signing on behalf of a minor? If so, you confirm that you are at least 18 years of age and are legally authorized to act on the minor’s behalf.
No
Yes
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RELEASE OF LIABILITY, WAIVER OF CLAIMS & ASSUMPTION OF RISK

Please read carefully before signing. By signing this agreement, you waive certain legal rights, including the right to sue or claim compensation.

This agreement applies to all participation in activities, services, events, and use of the facilities, smash rooms, tools, equipment, and premises operated by Unleashed Rage Rooms Inc. (“Activities”).

By participating, I acknowledge and agree to the following:

ASSUMPTION OF RISK

I understand that participation in rage room activities involves inherent risks, including but not limited to:
- Slips, trips, falls, and collisions
- Flying debris, broken glass, and sharp objects
- Equipment malfunction or misuse
- Physical exertion and bodily injury
- Negligence of other participants
- Failure to follow staff instructions
- Damage to personal property
- Serious injury, disability, or death

I voluntarily accept all risks associated with participation in the Activities.

MEDICAL & SAFETY CONFIRMATION

I confirm that:
- I am physically and mentally capable of participating safely
- I am not under the influence of drugs or alcohol
- I have disclosed any medical conditions that may affect my participation
- I understand participation may not be suitable for individuals with certain medical, physical, or mental health conditions, including pregnancy

I agree to follow all staff instructions, safety procedures, and equipment requirements at all times.

RELEASE OF LIABILITY

In consideration for being permitted to participate, I agree to:
- Waive any and all claims against Unleashed Rage Rooms Inc., its owners, employees, contractors, volunteers, affiliates, and representatives (“Releasees”)
- Release the Releasees from liability for injury, death, property damage, or loss arising from participation, including claims resulting from negligence
- Indemnify and hold harmless the Releasees from any claims, legal actions, damages, or expenses related to my participation

MEDIA & PUBLICITY RELEASE

I understand that photos or videos may occasionally be taken during activities for promotional or social media purposes. By participating, I grant permission for my likeness to be used by Unleashed Rage Rooms Inc. unless I request otherwise in writing prior to participation

GENERAL TERMS

I acknowledge that:
- Participation is voluntary
-Age Requirement: Participants under 18 years of age must have this waiver signed by a parent or legal guardian. Minimum participant age is 9 years old.
- This agreement is governed by the laws of the Province of Manitoba, Canada
- Any legal proceedings must be brought exclusively within Manitoba

I confirm that I have read, understood, and voluntarily agree to this Release Agreement and understand that I am giving up certain legal rights by signing.


Unleashed Rage Rooms Inc. 
61C Main Street, Niverville, Manitoba 
431-792-4443 
info@unleashedragerooms.com

CONTACT US

61 Main Street, Niverville, Manitoba, Canada 
Ph. 431-792-4443 
info@unleashedragerooms.com

For Media/Content Inquiries
info@unleashedragerooms.com


MON:
TUE:
WED:
THU:
FRI:
SAT:
SUN:
CLOSED
CLOSED
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4:00 PM - 9:00 PM
4:00 PM - 9:00 PM
10:00 AM - 9:00 PM
CLOSED

HOURS OF OPERATION

© 2026 Unleashed Rage Rooms Inc. 
By using this website, you agree to our Terms & Conditions and Privacy Policy.
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