CONSENT

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