2525/2555 Ponce de Leon

Fitness Center - Registration Form

Tenant Name: ______________________________________________Male ___ Female ___ E-Mail Address: _____________________________________________ Company Name: ____________________________________________ Office Telephone: (____) ______________________________________ Building Access Card Number: _________________________________ The Fitness Center is provided for use by 2525/2555 Ponce de Leon Tenants ONLY. This form must be completed, signed, and returned to the Hines Property Management Office PRIOR to use of the Fitness Center. Upon completion and acceptance of this Registration Form, Tenant will be issued electronic access to the Fitness Center via their Building Access Card. Please allow two business days for card to be activated. Please keep a copy of the completed form for your records. The Fitness Center Rules and Regulations accompany this form; please be sure you read and understand them prior to accessing the Fitness Center.

Fitness Center - Acknowledgment and Release

Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from a physician before using any exercise equipment or participating in any exercise activity. You agree that by using the Fitness Center and participating in physical exercise or training activities, you do so entirely at your own risk. I intend to use the 2525/2555 Ponce de Leon Fitness Center and have read and agree to comply with the Fitness Center Rules and Regulations, and any other instructions from the Hines Property Management Office. Accordingly, I hereby agree that my use of the Fitness Center and all machines, equipment and other facilities are at my own risk and at all times shall be in accordance with the Fitness Center Rules and Regulations. In consideration for use of the Fitness Center, I unconditionally release, waive, hold harmless and discharge PRISA Ponce de Leon LLC, Hines Interests Limited Partnership and their respective officers, directors, partners, members, affiliated companies, agents, tenants, employees, contractors, successors and assigns from any and all liability, cost, expense, losses, demands, causes of action, damages or claims for any injury (including death) and loss or damage to property I may sustain or incur as a result of or arising out of my use of the Fitness Center and the machines, equipment and other facilities located in the Fitness Center. I acknowledge and agree that the permission granted to use the Fitness Center is non-transferable and may be revoked at any time. I have read and understood and agree to the terms of this Acknowledgment and Release. __________________________ Date __________________________ Company _____________________________________________________ Name (Print) _____________________________________________________ Signature