Recognizing the possibility of physical injury associated with canine training and in consideration for Eastern States Working Dog Association, Inc. accepting the registrant/member for its training programs and activities (the "Programs"), I hereby release, discharge and/or otherwise indemnify the Eastern States Working Dog Association, Inc., its officers, members and its affiliated organizations and sponsors, their employees and trainers and associated personnel, including the owner of fields and facilities utilized for the Programs against any claim by or on behalf of the registrant/member as a result of the registrant's / member's participation in the Programs and/or being transported to or from the same, which transportation is required for participation in the Programs. During your participation in the Programs and/or related activities that is being hosted by the Eastern States Working Dog Association, Inc., you may be photographed and/or videotaped in connection with one or more Programs which are being documented by photography and/or videography during these activities. Your membership and/or registration and attendance at these events constitutes your express consent to use your likeness in connection with the production of video and / or photographic material and for any exhibition thereof in any / all media throughout the world for commercial, training and / or educational purposes. I certify that the answers given by me in this application are correct to the best of my knowledge. Further, I release the ESWDA Inc., its officers, agents, and members from any and all liability for any damages that may result from information collected during this membership application request. Verification of eligibility to join in the ESWDA, Inc. must be satisfied for an application for membership to be accepted. I also aknowledge that all membership fees are not refundable.