Virtual Reality Waiver - Glen Ellyn Public Library
  • Open Saturday 9 am – 5 pm
  • 630-469-0879
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Virtual Reality Waiver

  • Virtual Reality with the Oculus Rift at the Glen Ellyn Public Library is available to participants 13 and older. Library staff will provide a brief overview, show you how to use the controllers, and help you adjust the VR goggles.

    Participant Name _________________________________________ Participant Age __________

    Date _________________ Participant Library Card Number ________________________________


    For your safety, you should not participate in Virtual Reality with the Oculus Rift if you

    • are prone to motion sickness.
    • have impaired balance or conditions that affect your ability to safely perform physical activities.
    • have heart, orthopedic or other serious medical conditions.
    • have a pacemaker or other implanted medical device(s).
    • are or may be pregnant.
    • have a history of photosensitive seizures.
    • have been diagnosed with an anxiety disorder or post-traumatic stress disorder.

    By signing this waiver, the participant or participant’s parent or legal guardian (if the participant is age 13-17),

    • understands that these activities that could involve risk or injury.
    • voluntarily assumes all risk and danger of personal injury (including death) and all hazards arising from, or related in any way to this activity, whether occurring prior to, during, or after the activity, howsoever caused and whether by negligence or otherwise.
    • consents to the use, reproduction, or publishing of images obtained by Glen Ellyn Public Library during participation.

    I have read the HEALTH & SAFETY ADVISORY and understand that by signing, I voluntarily assume all risks in participating on behalf of myself or the minor listed below.


    I ___________________________________________, as the parent/legal guardian of the minor participant named above, grant him/her permission to participate in Virtual Reality with the Oculus Rift.

    Signature ___________________________________________________________ (Revised 6/19)