Which activity will you be participating in?
The Final Exam
What day will you be playing?
It's important to select the correct date
Which time will you be playing?
Who are you?
Adult with Minor(s)
How many minors will you be signing for?
Will the supervisor or parent be playing in this game?
You're ready to play!!
What will your team be named?
You're ready to play!
Now let's complete the game within the Admin Panel so emails will be distributed.
You were last seen at
. Your current statistics are:
Would you consent to receiving emails / texts with
today's team photo
, a review and other announcements?
Do you share an email address with another player?
You must provide your email.
You must provide your first name.
You must provide your last name.
Date of Birth
Please provide your full date of birth.
Country of Residence
Antigua and Barbuda
Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Cocos (Keeling) Islands
Congo, the Democratic Republic of the
Falkland Islands (Malvinas)
French Southern Territories
Heard Island and McDonald Islands
Holy See (Vatican City State)
Iran, Islamic Republic of
Isle of Man
Korea, Democratic People's Republic of
Korea, Republic of
Lao People's Democratic Republic
Macedonia, the former Yugoslav Republic of
Micronesia, Federated States of
Moldova, Republic of
Northern Mariana Islands
Palestinian Territory, Occupied
Papua New Guinea
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Sint Maarten (Dutch part)
South Georgia and the South Sandwich Islands
Svalbard and Jan Mayen
Syrian Arab Republic
Taiwan, Province of China
Tanzania, United Republic of
Trinidad and Tobago
Turks and Caicos Islands
United Arab Emirates
United States Minor Outlying Islands
Venezuela, Bolivarian Republic of
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Please provide your country.
You must provide your postal code.
Phone Number (we'll text your photo)
You must provide your phone number.
Emergency Phone Number
You must provide your emergency phone number.
Where did you hear about us?
Friend / coworker recommended
I've played before
Internet Search (Non-google)
Someone else booked this
Please indicate where you heard about us.
Reason for Visiting
Please provide your reason for visiting.
Escape Rooms Played
this is my first time
2 - 5 rooms
6 - 10 rooms
11 - 25 rooms
Please let us know how many escape rooms you've played
I, the undersigned parent or legal guardian do hereby represent that I, acting in such capacity, have fully read and understood this Waiver and Release of Liability Form and do hereby consent to my child or ward/s participation in the above described game activity. I agree, individually and on behalf of the child or ward, to be bound by the all of terms of this Waiver and Liability Form on behalf of myself and my child or ward, including, but not limited to agreement to release, hold harmless, and indemnity Fox in a Box - Chicago from all liability, loss, cost, claim, or damage whatsoever, I agree that any act of fraud or deception in order to induce Fox in a Box - Chicago to permit a minors participation in any game activity shall result in my complete acceptance of any and all liability for all loss, cost, claim, or damage whatsoever including indemnification of Fox in a Box - Chicago for the same.
Please read and agree to the terms provided
PLEASE READ CAREFULLY. THIS IS A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS. 1. I understand that each person participating in the Activity is a “Participant” and that I am signing this on my own behalf and, if my child is a Participant under 18, on behalf of my child. And if for my organization or corporation, I am signing this on behalf of all participants coming from this organization. 2. I understand that certain activities including, but not limited to, opening padlocks, moving equipment, rolling carpet, looking under tables, watching a countdown timer working its way to imminent doom, opening doors, perusing books, listening to a telephone, walking around a room, hearing a disembodied voice, being watched on camera, moving in the dark, using a typewriter, being in a space occupied currently or previously by someone who may have had a transmittable illness and other similar activities (the “Activities”), CAN BE HAZARDOUS AND PRESENT A RISK OF PHYSICAL INJURY, ILLNESS OR DEATH. I understand that the Activities include risks that are inherent and/or which cannot be reasonably avoided without changing the nature of the Activity and EXPRESSLY ASSUME ALL RISKS ASSOCIATED WITH EACH ACTIVITY. 3. I understand that all Activities carry the risk of equipment failure or improper use, risks associated with the natural office environment, risk of insufficient sanitization despite efforts of operator or instructor, and risk that others, including the operator or instructor, will act negligently. In addition, each Activity carries certain unique risks, which include and are not limited to colliding with others; triggering strobe light effects, music or smoke; incurring paper cuts, tripping or falling; having a panic or heart attack; contracting an illness from being in a public space; claustrophobic reaction thinking one is locked in even if one is not; etc. 4. If Participant is renting or borrowing equipment, I agree to accept the equipment “AS IS” and WITH NO WARRANTIES, express or implied. I agree that the Participant listed on this form will be the only person using the equipment and will not use it until Participant has received and understands instructions on its use and function. I agree to pay the full retail value of any equipment not returned or returned in a damaged condition. 5. IN CONSIDERATION FOR BEING ALLOWED TO PARTICIPATE, I AGREE TO DEFEND, INDEMNIFY, RELEASE AND NOT TO SUE PlayItLiveIt Inc. d/b/a Fox in a Box - Chicago, all of their respective parent, affiliated, and subsidiary companies, the United States, and all their respective insurance companies, successors in interest, sponsors, agents, employees, representatives, assignees, officers, directors, and shareholders (each a “Released Party”) FROM ANY AND ALL LIABILITY and/or claims for injury, illness or death to persons or damage to property arising from the Participant’s participation in the Activity, INCLUDING THOSE INJURIES, ILLNESSES AND DAMAGES CAUSED BY ANY RELEASED PARTY’S ALLEGED OR ACTUAL NEGLIGENCE OR BREACH OF ANY EXPRESS OR IMPLIED WARRANTY. I agree to pay all costs and attorneys’ fees incurred by any Released Party in defending a claim or suit brought by me or on my or my child’s behalf or on my organization's behalf, or as a result of the Participant’s participation in the Activity. 6. I represent that Participant is in good health, free of any symptoms and that there are no special problems associated with Participant’s physical or mental condition. I authorize PlayItLiveIt Inc. d/b/a Fox in a Box - Chicago to obtain emergency medical transportation for Participant and agree to be fully responsible for any associated cost. I authorize a licensed physician or other medical care provider to carry out any emergency medical care for Participant which may be necessary and agree to be fully responsible for any associated costs. I will comply with any safety requirements and guidelines of the organization, city, state or country. 7. I agree that PlayItLiveIt Inc. d/b/a Fox in a Box - Chicago has the right to any photo or any video/sound footage of me during the event or during my time at Fox in a Box - Chicago. These photos, video footage and sound materials may be used for any marketing purposes. I agree not to record, livestream or broadcast any area or portion of the activity without prior written consent from PlayItLiveIt Inc. d/b/a Fox in a Box - Chicago. 8. I agree that ANY AND ALL CLAIMS FOR LOSS, INJURY, ILLNESS AND/OR DEATH REGARDING AN ALLEGED INCIDENT SHALL BE GOVERNED BY THE LAW OF THE STATE WHERE THE ALLEGED INCIDENT OCCURRED AND EXCLUSIVE JURISDICTION SHALL BE IN THE STATE or federal court sitting in the district where the alleged incident occurred. 9. I represent that I am the minor Participant’s parent or legal guardian and I VOLUNTARILY GRANT PERMISSION FOR MY CHILD TO TAKE PART IN THE ACTIVITY. I acknowledge that I am signing this release on behalf of my child and that MY CHILD SHALL BE BOUND BY ALL THE TERMS OF THIS RELEASE. By signing this agreement without a parent or guardian’s signature, I represent that I am at least 18 years of age. I AGREE TO INDEMNIFY THE RELEASED PARTIES FOR ALL LIABILITY AND CLAIMS, INCLUDING ATTORNEYS’ FEES, ARISING FROM ANY MISREPRESENTATIONS IN OR FRAUDULENT EXECUTION OF THIS AGREEMENT. 10. I understand that there are no refunds under any circumstances.
By checking below you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.
I AGREE TO THE TERMS PROVIDED AND CONSENT TO THE USE OF MY ELECTRONIC SIGNATURE
You must agree to the terms above.
Please sign in the box above to provide your electronic signature.
You must create your signature above.