I acknowledge, consent and agree to the following: I verify that the information contained on this form is correct and true to the best of my knowledge. I authorize DNA LAB CENTER, or its agents, to collect biological specimens and perform DNA testing with my specimen or that of the minor or incapacitated individual(s) named on this form. I understand that the biological specimens will be used for genetic testing and may be stored for future testing. If this test involves a person who is a minor or who is otherwise legally incapable of consenting, I attest that I have the legal authority to consent to testing and assume all legal responsibility. I witnessed the labeling of my name and/or individual’s name I am consenting for on the envelope/tube or package containing the specimen. I acknowledge and agree that the laboratory’s liability to me arising out of or in any way related to the provision of testing services contemplated herein shall not exceed the cost of the test, and I agree to indemnify, defend, and hold DNA LAB CENTER, its officers, agents, employees, representatives and any persons or entities collecting specimens harmless from all further claims or damages. I acknowledge and understand that if for any reason the biological specimen is inadequate for evaluation, DNA LAB CENTER or the entities collecting specimens shall not be held liable if it is unable to produce test results due to insufficient specimen or due to the nature or condition of the specimen. DNA LAB CENTER may request additional samples. I understand that to ensure testing of the highest quality, DNA LAB CENTER reserves the right to perform more testing to satisfy strict laboratory standards and guidelines. If this process delays the reporting of results, I will not hold DNA LAB CENTER or the entities collecting specimens liable for any refund or damages.

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