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Informed Consent and Liability Waiver Release for Participation

I agree and consent to the following/

I sign on behalf of my son/daughter &

I agree & consent to the following:


I am participating in virtual reality games/exercises conducted by Infusion XR Arcade. I recognize that the games, machines, and projection require physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved.

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the above mentioned program. I represent and warrant that I have no medical condition that would prevent my participation.

I agree to assume full responsibility for any risks, injuries or damage known or unknown which I might incur as a result of participating in the virtual reality games and machines. Such injuries may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness, including death.

I am aware of the health risks involved with the VR machine rides, standalone VR headsets, and AR Projection. These health risks may result in, but are not limited to vomit, blood, bodily fluids, and other biological hazards.

By signing below, I agree to accept liability for the equipment used.  I understand that should any damages occur that exceed the warranty of the merchandise while the equipment is in my possession, I will be held fully responsible and liable for the full amount of the repairs/replacement of the equipment. I accept I am responsible to pay a damage and/or cleaning fee accordingly as staff deem necessary. I understand that staff hold executive authority to make the decision if a game, experience, or ride is appropriate for the user.

I acknowledge these risks and assume responsibility for my participation in the VR experience. I hereby release, hold harmless any employee or authorized volunteer of Infusion XR involved in the facilitation of the equipment and experience and indemnify them, the Infusion XR and its offers against any or all claims, actions, suits, procedures, costs, expenses (including attorney’s fees and expenses), damages and liabilities arising out of, connected with, or resulting from my VR participation including without limitation, those resulting from the manufacture, selection, delivery, possession, use or operation of such equipment.

I accept it is my responsibility to ensure my possessions are safely removed from my person when using the equipment and machines.

I, my heirs or representatives forever release, waive, discharge and covenant not to sue the Infusion XR Arcade for any injury or death caused by their negligence or other acts. 

I grant permission to Infusion XR Arcade for the use of the photograph(s) or electronic media images that are taken during my visit. I understand that I may revoke this authorization at any time by notifying Infusion XR Arcade. 

I understand that myself and other participants are required to meet the minimum/maximum height and weight restrictions (min. height: 4'6", max. weight: 200/seat). *The weight and height restrictions only apply for the 360 machine.

I have read the above waiver and release of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

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