Mobile Lab (SCiLL) Release of Liability

I hereby agree that by entering Change is Simple, Inc.'s mobile lab, I accept liability for any damages or injury that may occur while participating in or around or using any of the equipment regardless of its condition from Change is Simple, Inc. By signing this agreement I understand that I am waiving my right to bring a court action to recover compensation or to obtain any other remedy for any injury to myself, my property, or my death, however caused, arising out of my use of any equipment, materials, or programs of Change is Simple, Inc. I understand that there are inherent risks associated with working with and around scientific equipment, materials, and experiments. I acknowledge that I have the necessary skills to use the materials and equipment properly. I also acknowledge that I will participate in and around the mobile lab in a safe manner that is not contrary to recommended use, manufacturers’ standards, or the safety of others. I am aware of hazards associated with the use of scientific and educational equipment, including but not limited to, physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

I understand that equipment and supervision are provided for my use and safety. I agree that I will be solely responsible for proper use and participation of safety and other equipment and programs.

I, the undersigned user or guardian of user HEREBY RELEASE on behalf of myself, my heirs, representatives, successors, executors, and administrators Change is Simple, Inc. its officers, agents, and employees from any cause of action, claims, or demands of any nature whatsoever including, but not limited to, a claim of negligence. I expressly agree and promise to accept and assume all of the risks existing in participation in and around the mobile lab. My participation in and around the mobile lab is purely voluntary and I elect to participate in spite of the risks. I agree to hold harmless and/or indemnify and defend Change is Simple, Inc. and their officers, agents, servants, and employees from all liability, costs, or expenses resulting from accidents or injury to — or for the death of — any person or property directly or indirectly arising from my use or my permission, express or implied, to enter or participate in programs in and around the mobile lab.

I also agree that if I damage, lose, or misplace any item from Change is Simple, Inc. that I will pay for these losses or damages according to prices listed later on this form. I agree that if Change is Simple, Inc. incurs any costs associated with recovery of payment for damages or losses (such as court costs) that I will reimburse or pay Change is Simple, Inc. for these costs as well as the cost of the damaged or lost items. Cracked, broken, ripped, sliced, or damaged materials by Change is Simple, Inc. are subject to be charged for replacement. I understand and agree that I am fully responsible for any damage to materials and if damage or loss occurs, I authorize Change is Simple, Inc. to charge the cost of replacement or repair to my credit card, minus deposit.

It is solely the discretion of Change is Simple, Inc. to determine if damaged materials will be repaired or replaced at the user's expense.

I understand that the terms of this agreement are legally binding and I certify that I am signing this agreement, after having carefully read it, of my own free will.

By checking the box above, I attest that I have read, understood, and agreed to these conditions.