Free editable waiver sample

VR Arcade Waiver Template

Edit, copy, or download this free sample. Includes activity-specific wording, participant details, and signature lines.

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VR Arcade Waiver — Sample
Business / organization: [Business name]
Location: [Address]
Date / session: [Date and session]

PARTICIPANT AND CONTACT DETAILS
Player full name and date of birth: ____________________
Contact email and phone: ____________________
Booking group, session date, and experience type: ____________________
Guardian identity and relationship for a minor: ____________________
Emergency contact name and phone: ____________________
Equipment-fit or participation questions for staff: ____________________
Participant or guardian signature and date: ____________________

ACTIVITIES COVERED
Virtual reality arcade sessions with fitted headsets, handheld controllers, supervised play spaces, and multiplayer group experiences.
Included activities and operating details: [Adapt this description to your operation.]

ACKNOWLEDGEMENT OF RISKS
I understand that VR arcade involves risks, including:
• Dizziness, nausea, or visual discomfort during immersion
• Loss of balance while physical surroundings are obscured
• Collisions with players, furniture, or play-space boundaries
• Strain from repeated controller movements or wearing equipment
• Startle responses to intense visual or audio content
I understand that these examples do not describe every possible risk.

AGREEMENTS
☐ I will stay within the demonstrated play boundaries and follow the host's instructions.
☐ I will signal staff promptly if I feel dizzy, uncomfortable, or unsure of my surroundings.
☐ I will use controller straps and other fitted equipment as instructed.

RELEASE AND CONSENT — SAMPLE WORDING
To the extent permitted by applicable law, I voluntarily assume the risks described in this agreement and release [Business name] from claims arising from my participation in the described activities, except claims that cannot lawfully be released.
If signing as a parent or guardian, I confirm my authority to consent to the named minor’s participation. This consent does not release rights that applicable law does not allow a parent or guardian to waive.

SIGNATURE
I have read this agreement and had the opportunity to ask questions before signing.
Signer name: ____________________
Parent / guardian name (if applicable): ____________________
Signature: ____________________    Date: ____________________

Sample for adaptation and legal review. Have qualified counsel review the completed agreement for your operation and jurisdiction before use.

Sample for adaptation. Have qualified counsel review your completed agreement for your operation and jurisdiction before use.

From sample to signed waiver

Get the paperwork done before arrival.

Collect signatures before equipment fitting, then let the host confirm the selected experience, answer participation questions, and demonstrate the stop signal without a headset on.

1. Build your digital version. Start with this activity in the AI wizard, then edit your draft and fields.
2. Share your published waiver. Send the signing link ahead of time or display its QR code.
3. Find the signed record. Look up completed waivers when people arrive.

Create my digital waiver

Free to start. No credit card required. Your activity is prefilled; sample edits are available through copy or download.

Your business

VR Arcade Waiver

Review the agreement, add your details, and sign.

Player full name and date of birth

I will stay within the demonstrated play boundaries and follow the host's instructions.

Signature

Complete waiver

Illustrative signing preview. Your published form reflects the fields and wording you choose.

01
Guest and experience details
Identify each player, booking group, date, and experience type. Record the actual participant rather than only the person who purchased the multiplayer session.
02
Physical play-space description
Explain whether guests stand, sit, walk freely, or use a moving platform. Name shared play areas and the boundaries staff will demonstrate before fitting equipment.
03
Immersion and movement risks
Describe motion discomfort, disorientation, loss of balance, and contact with nearby people or objects. Include sensory effects relevant to the selected game and hardware.
04
Equipment handling and stopping
Insert controller-strap, headset-adjustment, and assistance rules. Explain the signal to pause and the host's procedure for helping a guest remove equipment and exit.
05
Eligibility and guardian consent
State your age, fit, supervision, and manufacturer-informed participation restrictions. Collect guardian details and direct personal health or accessibility questions to staff before play.
06
Guest agreement and signature
Add reviewed consent and release wording, with the appropriate signer and date. Keep optional gameplay recording or promotional-use permission distinct from participation terms.

Put it into practice

Make arrival easier for your team.

01
Share experience-specific signing instructions in the booking reminder
02
Verify signatures while guests can still read and ask questions comfortably
03
Keep equipment sanitation and fitting checks in the host's session checklist

Before publishing

Make it specific to your operation.

01
Describe the actual headset, controller, and movement setup
02
Separate simulator or free-roam terms when the experience changes
03
Align restrictions with current equipment guidance and venue procedures
04
Write a stop-and-exit process that staff can demonstrate
05
Review consent wording with counsel and your insurer

Questions to settle

Review before you publish.

Should a seated simulator share the free-roam waiver?

Only if the agreement clearly covers both setups. Moving seats, restraints, walking boundaries, and shared arenas introduce different considerations that may justify separate versions.

Can the waiver promise guests will not get motion sick?

No. Explain that discomfort can occur and give a clear way to pause. Staff should discuss the available experience and respond when a guest wants to stop.

When should we ask about headset fit?

Provide a way to raise questions before arrival, then check fit in person before launching the game. A signed form cannot establish whether that headset is comfortable or suitable for a particular guest.

Keep researching

VR arcade waiver operations guide →

Read the operational guide before adapting the template to your workflow.

Explore the waiver template library →

Find another starting point for the activities and programs you offer.

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