
WELCOME TO SENIOROCITY VR™
Let’s Get Started!
Please review the information below before participating.
Participation is voluntary.
I may stop at any time.
I understand that VR experiences are generally conducted while seated and may cause dizziness, motion discomfort, eye strain, balance disturbances, or emotional reactions for some participants. I will notify staff if I experience discomfort or wish to stop.
Participant Acknowledgment
Questions? Please ask a facilitator before participating.
I have reviewed the information above and voluntarily choose to participate in Seniorocity VR™ activities.
Participant Name:
_____________________________
Signature:
_____________________________
Date:
__________________________________
OPTIONAL MEDIA & TESTIMONIAL PERMISSION
YES, I grant permission for photographs, video, audio recordings, comments, testimonials, and related materials from my participation to be used by Seniorocity VR™ and the American Family Center for educational, promotional, fundraising, and program-related purposes.
NO, I do not grant permission.
