All ages under 18 MUST HAVE a liability waiver signed by their parent or legal guardian. EVERYONE MUST HAVE a waiver initialed and COMPLETELY filled out. Ages 18+ must provide a valid drivers license or legal photo identification.

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Minor Information

Enter the information for the children for which you are responsible for:

In consideration of being permitted to engage in either 1) attempting to escape from a locked room which may include, but is not limited to, crouching, kneeling, climbing, crawling, and lifting or 2) participating in a virtual reality experience which may include crouching, kneeling, crawling and may feature bright flashes, scenes of terror or violence, disorientating effects and responsible handling of delicate equipment (hereinafter referred to as the “Activity”) coordinated by American Challenge Experience LLC dba Escape Challenge St. Louis – which I acknowledge is unsupervised, I acknowledge and agree to, on my own behalf, and on behalf of my personal representatives, heirs, assigns, executors, administrators and next of kin, as follows:

I am aware and acknowledge that injury or death may result from my participation in the Activity and from the use of the premises and facilities where the Activity is located or is to occur, or if premises and facilities are not an applicable description, the general area where the Activity is to occur, and the use of any machinery, equipment or apparatus located therein or thereon (collectively the “Activity Premises”).

Upon entering the Activity Premises, I will inspect the same and my observation and my engagement, participation and/or involvement in the Activity shall constitute an acknowledgement that I find and accept them to be safe and reasonably suited for their intended purpose.

I hereby release American Challenge Experience LLC dba Escape Challenge St. Louis and (collectively, the “Releasees”) from and against any and all liability for any loss, damage, injury, expense, demand or cause of action that I may suffer whether with respect to personal injury, death, damage to or destruction of property, theft or otherwise, which may arise as a result of my presence in, upon or about the Activity Premises or my use of the Activity Premises.

I will indemnify and hold harmless the Releasees, collectively and individually, from any and all losses, liabilities, damages, demands, costs, causes of action and expenses that they may incur, for any reason whatsoever, which may arise as a result of my participation in the Activity, and my presence in, upon or about the Activity Premises.

I acknowledge that the directors, officers, employees, volunteers, representatives, and agents of this authorizing entity are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose this authorizing entity decides, and assigns. I will be monitored by video camera and may be photographed after participating in the activity. I hereby consent to give American Challenge Experience LLC dba Escape Challenge St. Louis, permission to allow my photograph to be displayed, published or distributed.

I understand that being permitted to participate in the above noted activity, there are potential risks including but not limited to:
1) Being enclosed in a small room with a group of people.
2) Mental stress and similar disorders.
3) The use of simple tools and objects.
4) Dim lighting in rooms.
5) Risk of entanglement.
6) Inability to see due to virtual reality equipment.

I acknowledge that I am not permitted to take photos while participating in the escape room portion of the activity described above.

NOTICE: Do not remove or touch fire alarm or emergency lighting equipment. Doing so will result in the immediate ending of the activity and a potential fine up to $1000. Use of the Matrix VR Center and the virtual reality equipment requires the participants and the signer of this waiver to acknowledge that damaging or removing the equipment may result in a fine up to $4000.

I acknowledge that I am at least 18 years old. (If the participant is under 18 years old, a Parent/Guardian must sign this contract.)


By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.