Certification

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1. Rock Popper cartridges are federally approved for their intended use.

True

False

2. Upon purchase of a Rock Popper Kit it is your (client) responsibility to keep it out of the hands of person(s) under the age of 18

True

False

3. If a Booster Charge fails to fire and remains among the rubble of broken material:

It is activated and volatile, get away

It is inert and cannot go off

In signing this form I declare I will only use the Rock Popper System, Magnum Cartridges, and Booster Charges for their intended purpose. I will follow all federal, state and local laws when using the aforementioned products. I also will not give, sell, or otherwise transfer any Rock Popper Cartridges or Charges to any minor. I will take steps to prevent Rock Popper Charge Cartridges and/or Booster Charges from falling into the hands of minors and realize I could be held responsible if a minor harms themselves, others, or property by using any Rock Popper Magnum Cartridges or Booster Charges.*

In checking this box I acknowledge that I have read and understand the Affidavit of Responsibility. I understand that by checking the box I am signing the Affidavit. I hereby sign this affidavit

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