WAIVER

I have agreed to participate in the standing chair (“The Prototype”) testing (“Prototype Testing”) by Mobiiuz (“The Company”).

I have no injuries, health or medical conditions that would prevent or limit me from Prototype Testing.

I understand and acknowledge that my participation in the Prototype Testing may expose me to the risks of bodily injuries and/or loss of life and damages to my possessions or capacities and that these risks may arise from foreseeable or unforeseeable causes. I voluntarily and knowingly recognize, accept and assume all risks and dangers and all responsibility for any losses and/or damages, associated with my participation in the Prototype Testing.

I understand and acknowledge that other people who may either use the Prototype or simply be in the vicinity of the Prototype (“Others”), which I accepted to locate in my home or office (“Location”), may be exposed to the same types of risks. I voluntarily and knowingly recognize, accept and assume all risks and dangers and all responsibility for any losses and/or damages, associated with Others’ participation in the Prototype Testing or their presence in the Prototype’s vicinity at my Location, unless they too sign this waiver. I understand and acknowledge that the Prototype is not intended for use by children.

I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify the Company, its subsidiaries, affiliates, owners, officers, directors, employees and agents from any and all claims, actions or losses from any and all claims, actions or losses, for bodily injury, property damage, wrongful death, loss of services or otherwise, which may arise out of my participation in the Prototype Testing. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct of the Company.

I acknowledge that the Company and/or its licensees will be the sole owners of the Prototypes that I am testing and that I have no claim to any such Prototypes or the revenue or profits derived from them. I hereby assign to the Company all intellectual property rights embodied in the feedback on the Prototype Testing I provide to the Company and shall execute any documents necessary to effect the foregoing. All feedback I provide to the Company about the Prototypes is the confidential business proprietary information of the Company and I shall not disclose such feedback to anyone other than the designated individuals at the Company responsible for Prototype Testing.

The unenforceability of any portion of this Waiver shall not render the remainder of the Waiver invalid or unenforceable.

Please sign by typing in a conformed signature: “/s/ FirstName MiddleName LastName”.