By entering the Rage Room, you are voluntarily choosing to engage in high-intensity activities involving the destruction of glassware, electronics, and furniture using various smash tools. You accept that this environment is inherently hazardous and requires strict adherence to all safety protocols.
Rage Room Waiver Form
This Rage Room Waiver Form allows entertainment venue owners to collect participant signatures acknowledging safety protocols, tool handling policies, and risks associated with smash room activities.
Preview
Welcome & risk acknowledgement

Rage Room Waiver Form
You understand that participating in a smash session involves significant risks, including but not limited to being struck by flying debris, accidental contact with blunt tools, slips on fragmented materials, and minor cuts or abrasions. Even when wearing provided protective suits, gloves, and face shields, these risks cannot be entirely eliminated. By proceeding, you knowingly and voluntarily assume full responsibility for all physical injuries or property damage that may occur to you or your belongings during your time in the room.
Participant details
Agreement & signature
Release of Liability
To the fullest extent permitted by law, you agree to release, waive, and hold harmless the Rage Room operators, their employees, and affiliates from any and all claims, demands, or causes of action arising from your participation, including those resulting from the ordinary negligence of the facility or its staff. This release covers any harm caused by the equipment provided, the condition of the smashing area, or the failure to prevent injury, and you hereby covenant not to sue for any losses sustained while participating in these smash activities.
I confirm that I have carefully read this entire document, I fully understand its terms, and I am signing this agreement freely and voluntarily. I certify that I am at least 18 years of age and legally competent to enter into this binding release of liability.
Powered by ClickWaiver
About this template
This Rage Room Waiver Form is a digital document designed to help venue operators manage participant data before an experience begins. You can customize the template with your specific business name, add your own branding, and include unique facility rules. Once configured, you can share the form via email links, embed it on your website, or display it on a tablet at your check-in kiosk.
| Field / Feature | Industry Purpose |
|---|---|
| Participant Details | Collect contact info and emergency numbers. |
| Safety Equipment | Verify that attendees acknowledge use of protective gear. |
| Facility Rules | Outline specific breakage and behavior expectations. |
| Digital Signature | Capture a timestamped signature on a phone or kiosk. |
This form is commonly used by entertainment venues and facilities that offer smash rooms or high-energy activity experiences to ensure all participants are oriented to the environment. It acts as an intake tool for staff to verify that guests have read through site-specific policies regarding handled tools, property, and safety protocols before starting their session.
Questions about this waiver
- What specific sections should I include in my Rage Room Waiver Form regarding safety gear?
- You should add fields that require participants to confirm they are wearing provided protective equipment like goggles, face shields, gloves, and closed-toe shoes. Using a checkbox list within the form ensures that each guest acknowledges the necessity of these items before entering the smash zone.
- How can I customize the Rage Room Waiver Form to account for different types of breakable items?
- You can edit the text blocks in the template to list specific item categories, such as electronics, glass, or ceramics. Adding a drop-down menu or check-box section allows you to quickly distinguish between different booking packages or the types of items a guest is permitted to break.
- Can I set up a tablet at my front desk for walk-in customers to sign the form?
- Yes, our kiosk mode allows you to lock a tablet to the waiver page so that participants can read and sign the document right at your reception area. This ensures you collect a fresh signature from every guest before they start their session.
- How do I organize completed waivers for multiple patrons in the same booking?
- You can group signed documents by date or booking reference number within the dashboard. This makes it easy to verify that everyone in a group has finished their form before their scheduled rage session begins.
This template is framed for US and provided as a software tool, not legal advice. Waiver enforceability varies by jurisdiction and circumstance — confirm the final wording with your own counsel before relying on it.