CONSENT

IHartHarvest, Inc. - The Potato Project – C/O: 1892 Moselem Springs Rd. Hamburg, PA 19526

INFORMED ACTIVITY CONSENT AGREEMENT
Any one who participates in any IHartHarvest, Inc., activity acknowledges and accepts this Agreement by and in appearing at the event(s).
 
Obfuscation of this Agreement is not permitted. Obfuscation does not invalidate this 
 
Agreement or any part, of the original copy as stored. This Agreement contains the entire agreement of the parties with respect to the subject matter of this Agreement, and supersedes all prior negotiations, agreements, and understandings with respect thereto. This Agreement may only be amended by a written document duly executed by all parties.
 
I understand that participation in The Potato Project activity offered by IHartHarvest with Walter and or Linda Zawaski, and any Sponsor or Agent, involves a certain degree of risk.
 
I have carefully considered any risk involved and have given
 
_____THE/AS PARTICIPANT___________, my (if minor circle; son/daughter/guardant), 
my     (Print Name of Participant)
consent to participate in this activity with their accompanying/group/Sponsor.
   
  
Sponsor: ___EXISTING SPONSOR or SELF_________________.
                        Print Name  
    
        _______I AGREE AS APPROPRIATE________________.
                        Sponsor Signature
 
All parties and participants, agrees to indemnify and hold harmless Walter and or
Linda Zawaski against any damage, loss, threatened loss, or expense by reason
of the liability or potential liability of anyone for or arising out of any
claims for damages, and or any harm, including extent of an unexpected event or
breach of the contract or intention, what-so-ever. Participation in this
activity validates acceptance of any and all terms and or conditions. This
agreement shall be interpreted under the laws of the Commonwealth of Pennsylvania.
Any litigation which might occur under this Activity and Agreement shall be
resolved in the trial courts of Berks County, Commonwealth of Pennsylvania.
 

This form should have parent/guardian signature as appropriate:
 
_________________________________________   __________________________________________.     
   Name(s)                          (Sign & print.) 
 
Rel.:1.2a.
 
Click on Printable Form Below as needed: Release.xps
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Walt Zawaski,
Jul 24, 2012, 6:06 AM
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