Smartwaiver Certificate of Authenticity

Verify Authenticity of Document

Document ID: Br45nQwvQUQE5VhqXXtBTi
Completed: 2021-02-04T05:25:49+00:00 UTC

The Haunted Museum Tour

WAIVER, RELEASE AND INDEMNITY AGREEMENT

-ALL GUESTS MUST BE AT LEAST 16 YEARS OLD TO ENTER THE BUILDING. GUESTS AGED 16/17 MUST BE
ACCOMPANIED BY A PARENT OR GUARDIAN-

In consideration of being permitted to participate The Haunted Museum tour, I hereby acknowledge and agree as follows:

I understand that my participation and involvement in The Haunted Museum tour at 600 E. Charleston Boulevard in Las Vegas,
Nevada may include spirit detection activity, interaction with spiritual and/or unexplainable phenomena, and/or other
unexplainable, unusual or paranormal activities or interactions, which necessarily include certain risks which may or
may not be foreseeable.

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I acknowledge that the risks associated with The Haunted Museum tour could cause me, others around me, or third parties over
whom I have no control, bodily injury, damage to property, emotional distress, death, or other harm.

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I understand the risks associated with The Haunted Museum tour, and even with those risks, I freely and willingly desire to
participate in The Haunted Museum tour.

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I hereby waive, release and discharge any and all claims for damage for harm, personal injury, death or property damage
which I may have, or which may hereafter accrue to me, as a result of participation in the Haunted Museum tour. This release is
intended to discharge in advance Hell Fire Media, LLC, Zak Bagans, Zak Bagans’ The Haunted Museum and their
respective owners, officers, directors, agents and employees from any and all liability arising out of or connected in any
way with my participation in the Haunted Museum tour, even though that liability may arise out of negligence or carelessness
on the part of those parties. It is understood that activities such as the ones I will be participating in involve an element of risk
and danger of accidents or unknown and/or unexplainable paranormal activity and knowing those risks, I hereby assume those
risks.

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I agree to indemnify and to hold harmless, Hell Fire Media, LLC, Zak Bagans, Zak Bagans’ The Haunted Museum and
their respective owners, officers, directors, agents and employees from any loss, liability, damage, cost or expense which
they may incur as the result of my death or any injury or property damage that I may sustain while participating in any activity
associated with the Haunted Museum tour.

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This waiver, release, indemnity and assumption of risk is to be binding on my heirs and assigns.

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I understand that by participating I consent to photo images and video footage taken by staff during this activity to be used in
any or all publications and websites.

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I AM AWARE THAT THIS AGREEMENT IS LEGALLY BINDING AND THAT I AM RELEASING LEGAL RIGHTS BY
SIGNING IT. I HAVE READ THE ABOVE TERMS AND CONDITIONS IN FULL AND HEREBY ACKNOWLEDGE
THEM.

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Today's Date: February 3, 2021

Participant's Name
Karigan
First Name*
Wann
Last Name*

559-329-7614
Phone*

*
Participant's Date of Birth

I certify that I am 18 years of age or older

Participant's Signature*

Email Address

karigancwann@mail.fresnostate.edu

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 Email

A signed copy of this waiver will be sent to the email address you provide.

*
Electronic Signature Consent
By checking here, 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.

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