Thank you for supporting our fundraising campaign! Your name will be added to the run list for course #1! The list is populated in order of signup times and contribution levels.

*The deployment of any obstacle course event or any associated feature is ENTIRELY dependent upon meeting the aforementioned fundraising goal before November 30, 2026

*If we meet our fundraising goal by June 01, 2025, at 11:59 p.m. but we meet it before November 30, 2026 at 11:59 p.m, the course will take place the following fall

*If we do not meet our fundraising goal by November 30, 2026 at11:59 p.m, all donations will go to the entities on this (growing) list of certified non-profit organizations: RVA Esports, Code Va, Paws for Purple Hearts

In ORDER TO RUN THE COURSE, YOU WILL HAVE TO SIGN THE FOLLOWING WAIVER:
Assumption of Risk, Waiver of Liability, and Indemnity Agreement 

Please read this entire document carefully and completely. It is a legally binding agreement that affects your legal rights. Your signature below indicates that you have read, understood, and agreed to all of its terms. This waiver must be signed in person before you are permitted to participate in the "Double Jump" obstacle course.

1. Acknowledgment of Risks

I, the undersigned participant, fully acknowledge and understand that participation in the "Double Jump" obstacle course is a strenuous and potentially hazardous physical activity. I am aware that my participation involves inherent and significant risks, dangers, and hazards that cannot be eliminated. These risks include, but are not limited to:

• Physical Injury: Serious bodily injury, sprains, strains, fractures, cuts, abrasions, muscle tears, concussions, head injuries, joint or back injuries, heart attack, and other life-threatening physical harm.

• Environmental Hazards: Risks caused by the weather, terrain, course conditions (such as slippery, uneven, or unstable surfaces), contact with obstacles, or other participants.

• Equipment Failure: The potential for equipment malfunction or failure of any kind.

• Negligence: The risk that injuries may be caused by the negligence of the event organizers, including ImmerseCon, its officers, employees, volunteers, agents, sponsors, or other participants.

I am voluntarily choosing to assume all risks associated with this event, both known and unknown, even if arising from the negligence of others, and I assume full responsibility for my own safety and well-being.

2. Physical Condition and Medical Release

I certify that I am in good physical condition and have no known medical or physical conditions, including any conditions that have not been disclosed, that could be aggravated by or would prevent me from participating safely in this event. I am not under the influence of drugs or alcohol. I acknowledge that I have been advised to consult with a medical professional prior to participating in this event.

In the event of a medical emergency, I hereby give my consent for ImmerseCon and its designated medical professionals to provide emergency medical treatment, including transportation to a medical facility. I understand and agree that I am solely responsible for any and all costs associated with such medical care.

3. Compliance with Rules and Time Limits

I understand and agree to abide by all rules, regulations, and instructions provided by ImmerseCon and its staff, including any directives to exit the course for safety or any other reason. I acknowledge that failure to follow instructions may result in my immediate removal from the event.

• Level 1 Course: I understand that my time on the Level 1 course is strictly limited to a maximum of 1 minute and 30 seconds.

• Level 2 Course: I understand that my time on the Level 2 course is strictly limited to a maximum of 4 minutes.

I agree to exit the course immediately when instructed by an event official or at the conclusion of my allotted time.

4. Waiver and Release of Liability

In consideration for being permitted to participate in the "Double Jump" event, I, for myself, my heirs, executors, administrators, personal representatives, and assigns, hereby release, waive, and discharge ImmerseCon, its officers, employees, volunteers, agents, sponsors, and affiliates (collectively, the "Releasees") from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in the event. This includes any claims based on the negligence of the Releasees.

5. Indemnification

I agree to indemnify, defend, and hold harmless the Releasees from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney’s fees, incurred by the Releasees arising from or related to my participation in this event. This indemnification obligation extends to any claims brought by a third party as a result of my actions.

6. Image and Likeness Release

I hereby grant ImmerseCon and its affiliates the irrevocable right and permission to photograph and record my image, likeness, and voice in connection with the "Double Jump" event. I authorize ImmerseCon to use, reproduce, and distribute these recordings in any and all media, including social media, for promotional or marketing purposes without any compensation or further approval.

I certify that I am at least 18 years of age and have read this document in its entirety, fully understanding its contents. I agree that this waiver and release is binding upon my heirs, executors, and assigns.

Participant Signature: _________________________________

Printed Name: _________________________________

Date: _________________________________

Parent/Legal Guardian's Signature (for Participants Under 18):

I certify that I am the parent or legal guardian of the participant named above. I have read and understood this document and its terms on behalf of my minor child. By signing below, I agree to be bound by the terms of this waiver and release on behalf of my minor child.

Signature: _________________________________

Printed Name: _________________________________

Date: _________________________________

Thank you for supporting our fundraising campaign! Your name will be added to the run list for course #2! The list is populated in order of signup times and contribution levels.

*The deployment of any obstacle course event or any associated feature is ENTIRELY dependent upon meeting the aforementioned fundraising goal before November 30, 2026

*If we meet our fundraising goal by June 01, 2025, at 11:59 p.m. but we meet it before November 30, 2026 at 11:59 p.m, the course will take place the following fall

*If we do not meet our fundraising goal by November 30, 2026 at11:59 p.m, all donations will go to the entities on this (growing) list of certified non-profit organizations: RVA Esports, Code Va, Paws for Purple Hearts

In ORDER TO RUN THE COURSE, YOU WILL HAVE TO SIGN THE FOLLOWING WAIVER:

Assumption of Risk, Waiver of Liability, and Indemnity Agreement

Please read this entire document carefully and completely. It is a legally binding agreement that affects your legal rights. Your signature below indicates that you have read, understood, and agreed to all of its terms. This waiver must be signed in person before you are permitted to participate in the "Double Jump" obstacle course.

1. Acknowledgment of Risks

I, the undersigned participant, fully acknowledge and understand that participation in the "Double Jump" obstacle course is a strenuous and potentially hazardous physical activity. I am aware that my participation involves inherent and significant risks, dangers, and hazards that cannot be eliminated. These risks include, but are not limited to:

• Physical Injury: Serious bodily injury, sprains, strains, fractures, cuts, abrasions, muscle tears, concussions, head injuries, joint or back injuries, heart attack, and other life-threatening physical harm.

• Environmental Hazards: Risks caused by the weather, terrain, course conditions (such as slippery, uneven, or unstable surfaces), contact with obstacles, or other participants.

• Equipment Failure: The potential for equipment malfunction or failure of any kind.

• Negligence: The risk that injuries may be caused by the negligence of the event organizers, including ImmerseCon, its officers, employees, volunteers, agents, sponsors, or other participants.

I am voluntarily choosing to assume all risks associated with this event, both known and unknown, even if arising from the negligence of others, and I assume full responsibility for my own safety and well-being.

2. Physical Condition and Medical Release

I certify that I am in good physical condition and have no known medical or physical conditions, including any conditions that have not been disclosed, that could be aggravated by or would prevent me from participating safely in this event. I am not under the influence of drugs or alcohol. I acknowledge that I have been advised to consult with a medical professional prior to participating in this event.

In the event of a medical emergency, I hereby give my consent for ImmerseCon and its designated medical professionals to provide emergency medical treatment, including transportation to a medical facility. I understand and agree that I am solely responsible for any and all costs associated with such medical care.

3. Compliance with Rules and Time Limits

I understand and agree to abide by all rules, regulations, and instructions provided by ImmerseCon and its staff, including any directives to exit the course for safety or any other reason. I acknowledge that failure to follow instructions may result in my immediate removal from the event.

• Level 1 Course: I understand that my time on the Level 1 course is strictly limited to a maximum of 1 minute and 30 seconds.

• Level 2 Course: I understand that my time on the Level 2 course is strictly limited to a maximum of 4 minutes.

I agree to exit the course immediately when instructed by an event official or at the conclusion of my allotted time.

4. Waiver and Release of Liability

In consideration for being permitted to participate in the "Double Jump" event, I, for myself, my heirs, executors, administrators, personal representatives, and assigns, hereby release, waive, and discharge ImmerseCon, its officers, employees, volunteers, agents, sponsors, and affiliates (collectively, the "Releasees") from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in the event. This includes any claims based on the negligence of the Releasees.

5. Indemnification

I agree to indemnify, defend, and hold harmless the Releasees from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney’s fees, incurred by the Releasees arising from or related to my participation in this event. This indemnification obligation extends to any claims brought by a third party as a result of my actions.

6. Image and Likeness Release

I hereby grant ImmerseCon and its affiliates the irrevocable right and permission to photograph and record my image, likeness, and voice in connection with the "Double Jump" event. I authorize ImmerseCon to use, reproduce, and distribute these recordings in any and all media, including social media, for promotional or marketing purposes without any compensation or further approval.

I certify that I am at least 18 years of age and have read this document in its entirety, fully understanding its contents. I agree that this waiver and release is binding upon my heirs, executors, and assigns.

Participant Signature: _________________________________

Printed Name: _________________________________

Date: _________________________________

Parent/Legal Guardian's Signature (for Participants Under 18):

I certify that I am the parent or legal guardian of the participant named above. I have read and understood this document and its terms on behalf of my minor child. By signing below, I agree to be bound by the terms of this waiver and release on behalf of my minor child.

Signature: _________________________________

Printed Name: _________________________________

Date: _________________________________

Thank you for supporting our fundraising campaign! Your contribution makes the course possible!

*The deployment of any obstacle course event or any associated feature is ENTIRELY dependent upon meeting the aforementioned fundraising goal before November 30, 2026

*If we meet our fundraising goal by June 01, 2025, at 11:59 p.m. but we meet it before November 30, 2026 at 11:59 p.m, the course will take place the following fall

*If we do not meet our fundraising goal by November 30, 2026 at11:59 p.m, all donations will go to the entities on this (growing) list of certified non-profit organizations: RVA Esports, Code Va, Paws for Purple Hearts