In consideration of being permitted by SPACE Autastic, Inc, (hereinafter “SPACE”), to participate in activities and to use its equipment and facilities, now and in the future, I as the parent/guardian/adult of the children listed above a minor/adult (hereinafter “Participant”), hereby grant the permission necessary to allow Participant to participate in all activities at this SPACE location and off-site events and agree with all the terms of this Release of Liability, Indemnity Agreement, and Assumption of Risk Agreement (hereinafter “Agreement”). I, in my own behalf and on behalf of Participant, further agree to release, indemnify and discharge SPACE, its agents, owners, shareholders, directors, partners, employees, volunteers, manufacturers, participants, lessors, affiliates, its subsidiaries, related and affiliated entities, successors, and assigns (hereinafter “Released Parties”), on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows: 1) I understand and acknowledge that the activity the Participant is about to voluntarily engage in as a participant bears certain known risks and unanticipated risks which could result in physical, emotional, or mental injury, paralysis, illness or disease, death, or damage to Participant, to property or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activities at SPACE. The risks include, among other things: Use of SPACE equipment entails certain risks that simply cannot be eliminated without jeopardizing the essential qualities of the activity. Use of equipment may expose participants to the usual risk of cuts, scrapes, bruises, and rug burns. Other more serious risks exist as well. Participants may fall off equipment, sprain, injure, or break fingers, toes, wrists, feet, legs, back or neck and can suffer more serious bodily injuries as well. In any event, if Participant is injured and may require medical assistance, you as parent or legal guardian will assume full liability and responsibility for the expenses. Furthermore, SPACE employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of the participant’s fitness or abilities. They may give incomplete warnings or instructions, and the equipment being used might become loose, out of adjustment or malfunction. There is also a risk that SPACE employees may be negligent in, among other things, monitoring and supervising use of its equipment and facilities and in the maintenance and repair of its equipment and facilities. 2) I agree that this Release of Liability, Indemnity Agreement, and Assumption of Risk Agreement is made on behalf of that Participant and that all of the releases, waivers and promises herein are binding on that Participant. I represent that I have full authority as Parent or Legal Guardian of the Participant to bind the Participant to this Agreement. 3) I expressly agree and promise to accept and assume all of the risks existing in this activity on behalf of Participant. The Participant’s participation in this activity is purely voluntary, and I elect to have Participant participate in spite of all the risks. 4) I hereby voluntarily release, forever discharge, and agree to defend, indemnify and hold harmless SPACE and all Released Parties from any and all claims, demands, or causes of action, which are in any way connected with Participant's participation in this activity or use of SPACE equipment or facilities, including any such claims which allege negligent acts or omissions of Released Parties. 5) I Indemnify and save and hold harmless SPACE and the Released Parties against any loss, liability, damage or cost that may incur arising out of or in any way connected with the Participant's use of SPACE equipment or gear provided therewith or any acts or omissions of the Released Parties. 6) Should SPACE or anyone acting on behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. This means that I will pay all of those attorney’s fees and costs myself. 7) I certify that I have adequate insurance to cover any injury or damage that Participant may cause or suffer while participating in all SPACE activities, or else I agree to bear the costs of such injury or damage to Participant myself. 8) I further certify that I am willing to assume the risk of any medical or physical condition that Participant may have. I expressly agree that this Agreement is governed by the State of Wisconsin and is intended to be as broad and inclusive as permitted by Wisconsin law, and that in the event any portion of this Agreement is determined to be invalid, illegal, or unenforceable, the validity, legality and enforceability of the balance of the agreement shall not be affected or impaired in any way shall continue in full legal force and effect. In the event that I file a lawsuit against SPACE, I agree to do so solely in the State of Wisconsin and I further agree that the substantive law of the State of Wisconsin shall apply in that action without regard to the conflict of the law rules of that state. 9) I further agree to defend, indemnify, and hold harmless SPACE from any and all claims or lawsuits for personal injury, property damage or otherwise which are brought by or on behalf of the Participant, and which are in any way connected with such use or participation by the Participant, including injuries or damages caused by the negligence of Released Parties, except injuries or damages causes by the sole negligence or willful misconduct of the party seeking indemnity. 10) I certify that, to the best of my knowledge, the Participant does not have a health condition that would make it inadvisable for the Participant to participate in SPACE activities. In consideration of not being required to sign a fresh copy of this Agreement before each visit, I further agree that this Agreement shall apply to all future visits of the Participant to this SPACE location and off-site events. 11) By signing this Agreement, I acknowledge that I have had sufficient opportunity to read this entire Agreement, I understand it completely, I understand that it affects my legal rights, and I agree to be bound by its terms. I also agree if anyone is hurt or property damage during the Participant's participation in this activity, I may be found by a court of law to have waived my or the Participant’s right to maintain a lawsuit against SPACE and the Released Parties on the basis of any claim from which I have released them herein. 12) By signing this agreement, I am acknowledging that SPACE Autastic, Inc is not a Licensed Day Care.

In the event of a medical emergency and when a contact cannot be made in a timely manner to me and/or the emergency contact listed, I give my permission for my child(ren) to receive appropriate medical attention and even be transported to the nearest emergency room via ambulance. In the event of an unforeseen emergency or any accidents, I release SPACE, its employees and volunteers, and all those related to it, from any liability. I have provided emergency contact numbers and am assured that I will be contacted as soon as possible in the event that there is an emergency.

I agree to grant SPACE and all Released Parties, the irrevocable right and permission to photograph and/or record me or Participant in connection with SPACE to use photograph and/or recording for all purposes, including advertising and promotional purposes, in any manner in any and all media now or hereafter known, in perpetuity throughout the world, without restriction as to alternation. I waive any right to inspect or approve the use of the photograph and/or recording, and acknowledge and agree that the rights granted to this release are without compensation of any kind. All photographs and/or recordings are exclusive to SPACE.

When at SPACE Autastic, Inc, and any of their off-site events, as a parent/guardian: · I will always be respectful of other SPACE cadets and their families. · I will support other parents/guardians in a nonjudgmental way. · I will respect the volunteers and staff by monitoring my child and picking up after them while attending SPACE. · I will make sure my child is using all equipment in a safe and proper manner. I understand that all food and drink items need to be eaten while seated at a table in the Activity Room. · I will understand that the staff and volunteers are not here to watch my child. · I will ensure my child is not posing a risk to others. · I will respect others at SPACE by ensuring myself and my child are healthy when attending. · I acknowledge that I may be asked to leave if it is determined by SPACE staff and volunteers that I am not following the agreed terms, or if I am creating an environment that is not safe or supportive to other SPACE cadets or their families.