ASSUMPTION of RISK, RELEASE and LIABILITY WAIVER This Event

ASSUMPTION OF RISK, RELEASE AND LIABILITY WAIVER

This Event may involve serious risk of injury. I understand that by signing this form, I am giving up the right to sue if I am injured while participating in this Event. Parents/Guardians of minors

under 18 must sign this Release and the attached Parental Consent

As lawful consideration for being permitted by Nitro Circus Live Touring USA, Inc. (“Company”) to participate in and/or attend (“Participate”) an Event titled Hot Wheels Junior Series Fueled by Nitro Circus (together with all ancillary and related activities, the “Event”) which shall take place on May 18, 2019 at the Escondido Sports Center located at 3315 Bear Valley Pkwy, Escondido, CA 92025 (“Location”), I agree to this Assumption of Risk, Release and Liability Waiver (“Release”) as follows:

1. I Understand The Risk Involved In Participating In The Event. I, ______, am _____ years old and agree to voluntarily Participate in the Event (and, if applicable, under the custody, control and care of my parent or legal guardian). I understand that the activities involved in the Event are physically and mentally intense. I represent that I am physically fit, in good health, and have no physical or mental problems which would hinder me in any of such activities. I am sufficiently trained and experienced enough to understand the risks involved in the Event. I have taken all due care in setting up my BMX bike, skateboard and/or scooter and I consider my equipment to be correctly set up and suitable for my safe Participation in the Event. I hereby acknowledge and agree to wear all requisite protective and safety equipment ordinarily required for riding activities involving a BMX Bike, skateboard and/or scooter, including without limitation, a helmet. Further, I acknowledge and understand that my Participation in the Event remains subject to the sole and absolute discretion of Company. 2. I Assume The Risk Of Injury By Participating In The Event. I understand and accept that participating in the Event may involve dangerous activities and may involve the danger of encountering known and unknown risks, including the significant risk of SERIOUS BODILY INJURY, illness, disability, emotional trauma, damage to property and DEATH (“Injuries”). I expressly and voluntarily assume full responsibility for these risks, from any cause including, without limitation, negligence, gross negligence, defective products, unknown obstacles, equipment malfunction, inadequate training, failure to supervise and failure to warn of potential risks. I understand that these risks may be caused by the Company, other participants, myself, any of the Released Parties or other third persons. 3. Liability Waiver, Release And Promise Not To Sue. I, (and, if applicable, my Parent as defined in the attached Parental Consent Form) on behalf of myself and each of my successors, heirs and assigns, unconditionally and irrevocably waive liability, release, promise never to sue, forever discharge and relinquish any and all rights, claims, demands, suits, actions, losses, damages, costs and expenses, including attorneys’ fees and costs (collectively, “Claims”), that I may incur or have against the Company, its affiliates, subsidiaries, parent companies, associates, related companies and body corporates (including but not limited to Nitro Circus Live Pty Ltd, Nitro Circus Touring Australia Pty Ltd, Nitro Circus Live USA Inc., Nitro Circus Media Productions, Inc., Nitro Circus IP Holdings GP Ltd, Nitro Circus Media Holdings Inc., Nitro Circus Licensing, Inc. Rush Sports Management Pty Ltd and each of their respective affiliates), Mattel, Inc. (together with its affiliates, subsidiaries, parent companies, associates and related companies), WMI Global, Inc., Event production companies, landowners/lessors of the Event locations, hosts, sponsors, advertisers, featured talent or athlete(s) and each of their respective owners, associates, related entities, officers, shareholders, directors, employees and agents (“Released Parties”), arising from or related to my participation in the Event, or in any way arising from or related to the Event and/or Location, including, without limitation, any Claims arising from or related to: (i) the actions or omissions of any of the Released Parties, other participants, spectators or other third parties; (ii) the inadequacy of any training or supervision; (iii) failure to investigate, keep safe or to warn of hazards known or unknown; (iv) any defect in or failure of the operation, installation, set up, manufacture, and/or design of any equipment, stage sets, or wardrobe; (v) the conditions on or about the Location and of all equipment stored therein; (vi) the breach of any implied or express warranty and/or representation of any of the Released Parties; (vii) transportation; (viii) weather conditions; and/or (ix) any other operations associated with the Event, and, with respect to each of the foregoing, whether based on tort (including, without limitation, acts of negligence and gross negligence), contract or any other theory of recovery in law or equity, whether for compensatory or punitive damages, equitable relief or otherwise, and whether now known or unknown, suspected or unsuspected (all of the foregoing shall be collectively referred to as the “Released Claims”). 4. Waiver of Unknown Claims. I expressly waive whatever benefits I may have under Section 1542 of the California Civil code (and any equivalent applicable law of the State in which this document is signed) which provides that: “A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH DEBTOR.”

5. Indemnity. On behalf of myself and each of my successors, heirs, and assigns, I (and, if applicable, my Parent) agree to defend (at Company’s request), indemnify and hold harmless each of the Released Parties from and against any and all Released Claims, and any and all third party Claims, arising from or in connection with: (a) any breach or alleged breach of this Release; (b) my Participation in the Event, including, without limitation: (i) any Injuries to me; (ii) any Injuries to third parties directly or indirectly arising from my Participation in the Event; and (iii) and any other loss or damage that I may directly or indirectly cause to any real or personal property. 6. Consent To Medical Care; Insurance. I (and, if applicable, my Parent) authorize each of the Released Parties to call for medical care for me or to transport me to a medical facility at my expense if medical attention is needed. I (and, if applicable, my Parent) also authorize any physician or other medical provider or facility to provide any emergency medical/surgical care. I (and, if applicable, my Parent) acknowledge and agree that none of the Released Parties is under any legal obligation to render assistance to me. I understand that Company does not carry or maintain health, medical, or disability insurance coverage on my behalf and I am expected and encouraged to obtain my own medical or health insurance coverage for me. I understand that I will be required to provide evidence of such medical and/or health insurance coverage to Company (ie. displaying medical insurance card and/or certificate of insurance) prior to Participating in the Event and Company may refuse any such Participation in the Event on such grounds if adequate proof of insurance is not provided by me (and/or my Parent). 7. Company Owns The Exclusive Right To Use My Name And Likeness From This Event. I irrevocably grant to Company and each of its licensees, successors and assigns, and each of the authorized photographers/media personnel acting on their behalf, without additional compensation, the unrestricted right to videotape, film, portray and photograph me and my actions and record my voice and other sound effects while I am present at the Event. I irrevocably grant to Company the exclusive right to use my name, image, likeness, voice and biography for any purpose and in any manner, including, without limitation, in connection with the distribution, advertising, promotion, commercial tie-in or other ancillary exploitation of the Event, and any entertainment programming related thereto, in whole or in part, in all media and by all means now known or hereafter devised and in all languages, throughout the universe in perpetuity. My Participation in the Event (the “Proceeds”) will be deemed a “work-made-for-hire” specially commissioned by Company within the meaning of all applicable laws and, accordingly, Company will be the sole and exclusive owner thereof for all purposes. To the extent necessary to vest all of the rights in the Proceeds in Company, I hereby irrevocably assign to Company all of my right, title and interest of every kind or nature which I may have or hereafter acquire in the Proceeds. If I receive any print, negative, tape or other copy of the Proceeds or the Event, I will retain it for my personal use only, and will not license or authorize its use by anyone else for commercial or private purposes. 8. California Law Applies. This Release, including the Parental Consent, Assumption of Risk, Release Liability Waiver and Guarantee (“Parental Consent”) attached hereto, shall be governed by, and construed in accordance with, the laws of the State of California without giving effect to the principles of conflicts or choice of laws. The exclusive jurisdiction of any Claim or dispute arising out of or relating to this Release shall be in the courts of the State of California. 9. Severability. This Release, including the Parental Consent attached hereto, will be binding to the fullest extent permitted by law, and will be binding upon each of my heirs, successors and assigns. If any provision of this Release, including the Parental Consent attached hereto, is held to be invalid, illegal or unenforceable, such provision will be curtailed and limited only to the minimum extent necessary to comply with applicable law, and the validity, legality, and enforceability of the remaining provisions of this Release will not in any way be affected or impaired thereby. I acknowledge and understand that this Release is an important legal document, and by signing this document I am waiving substantial legal rights I may otherwise have to recover damages for Injuries or losses, and sign it voluntarily and without inducement of any nature and intend for it to be enforced to the greatest extent allowed by law. I am 18 years of age or older, or I am less than 18 years of age and I have had the Parental Consent executed by my parent or legal guardian (attached Exhibit A).

Executed this ______day of ______, 2019 Signature of Participant: ______Name of Participant (please print): ______Home Address: ______City/State/Zip Code: ______Emergency Contact Name/Telephone Numbers: ______Signature of Parent/Guardian: ______Name of Parent/Guardian (please print): ___

For Parent/Guardian of Participants Under 18 Years of Age EXHIBIT A PARENTAL CONSENT, ASSUMPTION OF RISK, RELEASE, LIABILITY WAIVER AND GUARANTEE I hereby certify that I am the parent or legal guardian (“Parent”) of ______, a minor who is ______years old (“Minor”). In consideration of Minor being permitted to participate in the Event, and for me to be a spectator at all Event at which Minor Participates, I, the undersigned on behalf of Minor, myself and my spouse or domestic partner, my heirs, executors, administrators, and assigns and legal representatives, agree to the Parental Consent, Assumption of Risk, Release, Liability Waiver and Guarantee (“Parental Consent”) as follows:

1. Consent and Assumption Of Risk. I understand and accept that Minor's participating in the Event may involve dangerous activities and may involve the danger of encountering known and unknown risks, including the significant risk of SERIOUS BODILY INJURY, illness, disability, emotional trauma, damage to property and DEATH (collectively, “Injuries”). I hereby consent to Minor's participation in the Event and I hereby, assume, on behalf of Minor, myself and my spouse or domestic partner, full responsibility for all these risks from any cause, including without limitation, negligence, gross negligence, defective products, unknown obstacles, equipment malfunction, inadequate training, failure to supervise and failure to warn of potential risks. 2. Agreement On Behalf Of Minor To Terms Of Release, and Guarantee of Performance. I agree on behalf of Minor to all the terms, conditions, obligations and covenants of the Release. I hereby unconditionally and irrevocably give my unconditional and express consent and approval to the execution by Minor of the Release and acknowledges that Minor and Parent have read, understood and are familiar with each and all of the terms, conditions, obligations and covenants contained in the Release. In addition, I will use my best efforts to cause Minor to adhere to the terms of the Release and guarantee that: (a) Minor will perform all of his or her obligations in accordance with the Release; and (b) neither Parent nor Minor will disaffirm or disavow the Release on the grounds that Minor is a minor or on any other grounds. 3. Agreement That Terms Of The Release Apply To Me. I agree on behalf of myself and my spouse or domestic partner, that all of the terms, conditions, obligations and covenants of Minor under the Release apply to me and my spouse or domestic partner, even if we have not signed the Release. 4. Additional Release. In addition to the Claims released in Section 3 of the Release, I, on behalf of myself and my spouse or domestic partner, release all Claims which we may have for emotional distress, loss of companionship, or loss of consortium in the Event Minor suffers an Injury. 5. Indemnity. On behalf of Parent and each of the respective successors, heirs, and assigns of Parent and Minor, I unconditionally and irrevocably agrees to defend (at Company’s request), indemnify and hold harmless each of the Released Parties from and against any and all Claims, including, without limitation, any Claims claimed by any successors, heirs, or assigns of Parent or Minor, arising from or in connection with: (a) the breach or disaffirmation of this Release or any portion thereof by Minor or Parent for any reason; (b) the enforcement of this Release against Minor or Parent; and/or (c) Minor’s Participation in the Event, to the fullest extent permitted by law in every instance even if any of the foregoing arise from the negligence of Company. 6. Severability. This Release, including the Parental Consent attached hereto, will be binding to the fullest extent permitted by law, and will be binding upon each of my heirs, successors and assigns. If any provision of this Release, including the Parental Consent attached hereto, be held to be invalid, illegal or unenforceable, such provision will be curtailed and limited only to the minimum extent necessary to comply with applicable law, and the validity, legality, and enforceability of the remaining provisions of this Release will not in any way be affected or impaired thereby.

I fully understand that by signing this Parental Consent, I give up substantial legal rights I and/or Minor may otherwise have to recover damages for Injuries or losses, and sign it voluntarily and without inducement of any nature and intend for it to be enforced to the greatest extent allowed by law.

Executed this _____ day of ______, 2019. Signature of Parent/Guardian: Name of Parent/Guardian (please print):

WMI Global, Inc. Management • Risk • Safety • Medical • Rescue

Number: ______

CONFIDENTIAL

HISTORY/EMERGENCY INFORMATION Name ______Date of Birth ______Male Female Address ______City______State/Providence ______Postal Code ______Country ______SS # or Passport # ______Home Phone #______Cell Number ______Email Address ______EMERGENCY CONTACT Emergency Contact ______Relationship to patient______Address ______City______State/Providence ______Postal Code ______Country ______Phone # ______Cell # ______Language Spoken ______

DOCTOR AND DENTIST TO CALL IN EMERGENCY MD ______Phone # ______Address ______City______State/Providence ______Postal Code ______Country ______

DDS ______Phone # ______Address ______City______State/Providence ______Postal Code ______Country ______

HEALTH INSURANCE INFORMATION Name of Health Insurance ______Insurance ID # ______Group # ______PRIVATE AND CONFIDENTIAL REPORT Property of WMI Global, Inc. All Rights Reserved 2019 © WMI Global, Inc. Management • Risk • Safety • Medical • Rescue

Subscribers Name ______(Please provide copy of insurance card)

HEALTH HISTORY Please answer with a yes/no or fill in with the appropriate information. If you answer yes to any please explain at the bottom of the page.

Allergies ...... Yes No Heart Problems ...... Yes No Bee/Wasp Stings ...... Yes No Seizures/Convulsions ...... Yes No Extensive Swelling ...... Yes No Hearing Problems ...... Yes No Breathing Difficulty ...... Yes No Serious Injuries ...... Yes No Medication Required ...... Yes No Operations ...... Yes No EPI-PEN ...... Yes No Serious Illness ...... Yes No Is pen kept with you? ...... Yes No Speech Problems ...... Yes No Asthma ...... Yes No Vision Problems...... Yes No Diabetic ...... Yes No Contacts ...... Yes No Insulin ...... Yes No Other Medical or Health Problems Yes No (please list) ______Taking Medications Yes No please list Medication ______Diagnosis ______Dosage ______Medication ______Diagnosis ______Dosage ______Medication ______Diagnosis ______Dosage ______Date of last Physical Exam ______

WMI Global, Inc.

NOTICE OF PRIVACY PRACTICES: PROTECTIVE HEALTH INFORMATION (PHI)

High quality health care is built on trust. That means we must respect your privacy and the confidentiality of your medical information. We’ve made sure that your medical information can be read or accessed only for purposes related to medical care. Policies regarding access to your medical records by our staff and employees carefully outline the circumstances under which your medical information may be released to parties outside the hospital or your physician's practice.

The general rule regarding release of patient’s medical record is that information contained in a patient’s medical record may be released to third parties only if the patient has consented to such disclosure. The patient’s express authorization is required before the medical records can be released to the following parties: patient’s attorney or insurance company; patient's employer, unless a worker’s compensation claim is involved; member of the patient's family, except where the family member has been appointed the patient’s attorney under a durable power of attorney for health care; government agencies; and other third parties.

In order for the Event to provide WMI Global, Inc. with data to be stored in its confidential Electronic Medical Record system related to medical health history and medical care given during the 2018- 2019 Year, I authorize WMI Global, Inc. to store any and all information contained in the treatment and health history form(s) that WMI Global, Inc. medical personnel will complete in conjunction with my medical care received. I acknowledge that my treatment at the Event will not be affected by my decision to sign or not sign this authorization.

Signature of Patient/Legal Guardian Patient Name (printed)

Relationship if not Patient

Witnesses if unable to sign

I consent I do not consent to medical treatment for injuries/illnesses by WMI Global, Inc.; Sports Medicine Personnel and / or Hospital Medical Staff. I authorize treatment by such personnel in the event of injury or illness. I also give permission to release these records to WMI Global, Inc. I certify that I am over the age of 18 I certify that I am the Parent/Legal Guardian of the patient below (who is under the age of 18).

______(Athlete's Signature or Parent / Legal Guardian Signature) (Date)

Event / Organization: Today’s Date:

HEAD INJURY CONSENT

Any head, face, or jaw injury has the potential to be dangerous. This danger may not appear immediately. The first 24 hours are vital to helping determine possible severity. The following is offered to help guide parents and others during the time after a head injury has been sustained. These guidelines are not meant as, and should not be used as, substitutes for competent medical care.

If any of the following symptoms appear, the athlete should be taken to the hospital E.R. or family physician immediately:

1. Severe or increasing headache 2. Dizziness 3. Inability to arouse or awaken the athlete 4. Pupils of unequal size 5. Nausea or vomiting 6. Tingling, numbness or lack of control of arms or legs 7. Blurred or double vision 8. Mental confusion or amnesia 9. Clear drainage from ears or nose 10. Convulsions

Use no medications during the first 24 hours, including aspirin and aspirin substitutes (unless permission is granted by a physician). Athletes may eat and drink as they want. AVOID ALL USE OF ALCOHOL. If you have any doubts or concerns, call or seek medical attention immediately.

I have experienced a head injury or form of concussion within the last 12 (twelve) months. Yes ❑ No ❑

If yes, please explain, and include the date(s) of your head injuries:

______

The number of head injuries or form of concussion within the last 12 (twelve) months I have received is: ❑ 1 ❑ 2 ❑ 3 ❑ 4 ❑ More than 4

CONCUSSION POLICY • An athlete who sustained a head injury or experienced symptoms of concussion as outlined in the return-to-compete statement, must be removed from the practice or competition for a period of 7 to 10 days, unless otherwise determined by WMI Global medical doctor. • Once removed from the practice or competition, the athlete will not be considered for return-to- play activities until ALL the following criteria has been met: the athlete is fully asymptomatic, both at rest and after exertion; has a normal neurological examination; normal neuropsychological testing; and has been cleared to return by a WMI Global, Inc. medical doctor. A critical element of managing concussions is candid reporting by athletes of their symptoms following an injury. Accordingly, athletes are encouraged to be candid with the WMI Global, Inc. medical doctor and fully disclose any signs or symptoms that may be associated with a concussion.

• An athlete who suffers a concussion must be removed from practice or competition if any of the following symptoms or signs are identified based on the initial medical evaluation of the athlete: o Loss of consciousness. o Confusion as evidenced by disorientation to person, time or place; inability to respond appropriately to questions; or inability to remember assignments or plays. o Amnesia as evidenced by a gap in memory for events occurring just prior to the injury; inability to learn and retain new information; or a gap in memory for events that occurred after the injury. o Abnormal neurological examination, such as abnormal pupillary response, persistent dizziness or vertigo, or abnormal balance on sideline testing. o New and persistent headache, particularly if accompanied by photosensitivity, nausea, vomiting or dizziness. o Any other persistent signs or symptoms of concussion.

By signing this consent, I have read though these policies and admit I currently have none of the above stated signs or symptoms, nor have I previously shown these signs and symptoms within the last 12 (twelve) months. If I have had previous symptoms in the last twelve months, I will present to the WMI Global, Inc. medical doctor for discussion.

Name: ______

Signature:

Staff on Duty: Date:

HIPPA AUTHORIZATION FOR THE RELEASE OF MEDICAL INFORMATION

Patient’s Full Name: ______

Date of Birth: Passport Number /SSN: ______

I, the patient identified above, do hereby authorize all medical practitioners, physicians, hospitals, clinics, nurses, custodians of records, or any other individual at:

______(Name and address of medical person and/or facility) to release and disclose my protected medical information, both oral and documented, as identified herein below to:

WMI GLOBAL, Inc., its principals, employees or agents (hereinafter “WMI GLOBAL, Inc.”) for the purpose of allowing WMI GLOBAL, Inc. to share said medical information with appropriate itro Circs personnel for health, risk and safety management.

Information and documents to be disclosed: All verbal information regarding, but not limited to, any diagnosis, treatment, prognosis and health care services provided to me or to be provided to me, and records, meaning every page in my record, including but not limited to: emergency room records, transfer records, discharge instructions, personal property list, in-patient records, clinic records, office notes, face sheets, discharge summaries, history and physical, consultation notes, intra-operative records, anesthesia records, operative reports, recovery room notes, pathology reports, medication administration records, EKG reports and strips, EEG reports and strips, therapy notes, order, progress notes, laboratory results, nurses notes, vital sign sheets, intake/output records, x-ray reports, mammograms, CT scans, MRI’s, PET scans, respiratory therapy records, nutrition records, social worker records, transfusion records, code sheets, consent forms, autopsy report, all labor, delivery and nursery records, correspondence, photographs, videotapes, telephone messages, computer generated information, medical bills, pharmacy and drug records, health insurance information, insurance claim forms, insurance payment forms, Medicaid or Medicare records and medical narrative reports.

EXCEPT THE FOLLOWING INFORMATION, IF ANY: ______

I understand the information to be disclosed may include information relating to sexually transmitted diseases, acquired immunodeficiency syndrome (AIDS), human immunodeficiency virus (HIV), psychological or psychiatric treatment, behavioral or mental health services, genetic testing, sickle cell testing, and alcohol and drug abuse.

I further understand and/or agree that by signing this authorization: a. I authorize the use or disclosure of my individually identifiable health information as described above for the purpose listed. b. I have the right o withdraw permission for the release of my information and revoke this authorization, in writing, to WMI GLOBAL, INC. and any other parties involved. However, I understand the revocation will not affect information that has already been released, used or disclosed in reliance upon this authorization. c. The personal health and medical information released to WMI GLOBAL, INC. may be subject to re- disclosure by such person/organization and may no longer be protected by applicable federal and state privacy laws.

d. This authorization is voluntary and I may refuse to sign it. My treatment or payment for my treatment cannot be conditioned on the signing of this authorization. e. This authorization shall survive and not terminate upon my mental incapacity or legal disability. f. This authorization will expire one (1) year from the date signed below. g. A photocopy of this authorization shall be treated in the same manner as the original. h. I have a right to receive a copy of this Authorization.

SIGNED: DATE SIGNED: ______(Signature of Patient or Legal Representative)

ADDRESS: PHONE: ______