Program Waiver

For and in consideration for my participation in NASA Exchange-JSC (Starport Fitness) program
(hereinafter the "PROGRAM"). I hereby, for myself, my heirs, executors, insurers, successors and
administrators assume any and all risks associated with my participation in the PROGRAM including any
and all events and activities staged by this organization, the Starport Fitness, and unconditionally and
voluntarily release and waive any all rights and claims that I may now or in the future, have against the
Starport Fitness and their respective subsidiaries agents, employees, directors, officers, representatives,
contractors, sponsors, affiliates, successors and assigns, (collectively, the "RELEASED PARTIES") arising
out of my participation in the PROGRAM and/or any related activities (such as activities staged and/or
sanctioned by the PROGRAM) (collectively, the "EVENTS"). I hereby fully release and discharge the
RELEASED PARTIES from any and all claims from injuries, death, damage or loss which I may have or
which may accrue to me from my participation in the PROGRAM or EVENTS, even though liability may
arise out of the negligence, carelessness or other conduct on the part of the RELEASED PARTIES. I
further agree to indemnify and hold harmless and defend the released parties from any and all claims,
damages, liabilities and/or costs (including attorney's fees) arising out of, connected with or in any way
associated with my participation in the PROGRAM or EVENTS. I acknowledge that the RELEASED PARTIES
are not responsible for any inclement weather which may affect the EVENTS and release and waive all
claims against the RELEASED PARTIES for damage, liabilities or loss that may arise there from.
By agreeing and/or signing below, I agree to follow and abide by all policies in the Gilruth Code of
Conduct, the program rules, the Starport specific rules, and any other policies or procedures assigned or
stated by Starport Officials, Staff, and/or Management.
This Document is intended to be as broad and inclusive as permitted by law, and if any portion is held
invalid, it is agreed that the balance shall notwithstanding, continue in full legal force and effect. This
document embodies the entire agreement with respect to these matters and supersedes any previous or
contemporaneous negotiations or agreements. I hereby agree that no promise or inducement has been
offered except as herein set forth, and that this document has not been executed based upon
statements or representations by any person or entity other that those set forth herein. I have been
advised to contact an attorney prior to execution hereof. This document shall be governed by and
construed under the laws of the State of Texas without regard to conflicts of law principles therein.

Fitness Program Waiver

By checking the Waiver box, you certify that you have read, understand, and agree to comply with the
provisions listed herein. You acknowledge that failure to act in accordance with the provisions listed
herein, or with any other policy or procedure outlined by Starport NASA Exchange will result in
termination of services and/or revocation of participation privileges.
For and in consideration for my participation in NASA Exchange - JSC (Starport) physical activity services
(hereinafter the “SERVICES”).

1. I recognize that the SERVICES may involve strenuous physical activity including, but not limited to,
muscle strength and endurance training, cardiovascular conditioning and training, and other various
fitness activities.
2. I hereby affirm that I am in good physical condition and do not suffer from any known disability or
condition which would prevent or otherwise limit my full participation in Starport’s physical SERVICES. In
addition, I am fully aware of the risks and hazards connected with the participation in the physical
program including, but not limited to, physical injury, or even death.
3. I hereby elect to voluntarily participate in these SERVICES knowing that the associated physical activity
may be hazardous to me and/or my property.
4. I hereby, for myself, my heirs, executors, insurers, successors and administrators assume any and all
risks associated with my participation in the SERVICES including any and all events and activities staged
by this organization, and unconditionally and voluntarily release and waive any all rights and claims that I
may now or in the future, have against Starport and their respective subsidiaries agents, employees,
directors, officers, representatives, contractors, sponsors, affiliates, successors and assigns, (collectively,
the “RELEASEDPARTIES”) arising out of my participation in the SERVICES and/or any related activities
(such as activities staged and/or sanctioned by the SERVICES) (collectively, the “EVENTS”).

5. I hereby fully release and discharge the RELEASED PARTIES from any and all claims from injuries,
death, damage, or loss which I may have, or which may accrue to me from my participation in the
SERVICES or EVENTS, even though liability may arise out of the negligence, carelessness, or other
conduct on the part of the RELEASED PARTIES. I further agree to indemnify and hold harmless and
defend the released parties from any and all claims, damages, liabilities and/or costs (including
attorney’s fees) arising out of, connected with or in any way associated with my participation in the
SERVICES or EVENTS.
6. I acknowledge that the RELEASED PARTIES are not responsible for any inclement weather which may
affect the SERVICES and/or EVENTS and release and waive all claims against the RELEASED PARTIES for
damage, liabilities or loss that may arise there from.
7. By agreeing to this waiver, I agree to follow and abide by all policies in Starport’s Policies and Code of
Conduct, and any other policies or procedures assigned or stated by Starport Officials, Staff, and/or
Management.

This Document is intended to be as broad and inclusive as permitted by law, and if any portion is held
invalid, it is agreed that the balance shall notwithstanding, continue in full legal force and effect. This
document embodies the entire agreement with respect to these matters and supersedes any previous or
contemporaneous negotiations or agreements.

I hereby agree that no promise or inducement has been offered except as herein set forth, and that this
document has not been executed based upon statements or representations by any person or entity
other that those set forth herein.

I have been advised to contact an attorney prior to execution hereof. This document shall be governed
by and construed under the laws of the Federal Government and/or the State of Texas without regard to
conflicts of law principles therein.