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I grant to the Humane Society of the Treasure Coast and The PR Czar® Inc., its representatives and employees, the right to take photographs of me and my property in connection with the above-identified subject. I authorize the Humane Society of the Treasure Coast and The PR Czar® Inc., its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that the Humane Society of the Treasure Coast and The PR Czar® Inc. may use such photographs of me with or without my name and for any lawful purpose, including for example, such purposes as publicity, illustration, advertising, and web content.

PRIVACY STATEMENT - THE HUMANE SOCIETY OF THE TREASURE COAST, INC. VALUES ALL OF OUR DONORS, SUPPORTERS, AND VISITORS TO OUR WEBSITE. WE HONORTHEIRPRIVACY,SOWE DO NOT SELL, TRADE, OR SHARE THE PERSONAL INFORMATION WE HAVE GATHERED. SIMILARLY, WE DO NOT SEND DONOR MAILINGS ON BEHALF OF OTHERORGANIZATIONS.TAXID:59-0774235.

I, being of lawful age and the owner of the aforementioned dog, hereby understand the educational purposes of the Humane Society of the Treasure Coast, Inc. (“HSTC”) Puppy, Obedience, and Agility Classes, testing for Pet Therapy registration by an accredited tester/observer, and in consideration of being allowed to participate in the training classes being provided by HSTC, hereby acknowledge and agree (on behalf of my family members, heirs, legal representatives, and agents) that: Training can cause stress in dogs and that such training will be done in the presence of other persons and animals. There are risks and dangers involved in these training activities. I accept full responsibility of any and all risk of injury or other consequence to my dog and myself that may be incurred while we participate in these activities. I hereby release and hold harmless the HSTC, its officers, agents, directors, employees, representatives, volunteers, other enrollees, and the instructor/trainers from any and all claims, demands, expenses, and liability, including but not limited to any personal injury, emotional trauma, death, or property damage, incurred by the undersigned that may arise from my participation in any HSTC agility or obedience, training, classes, or other functions. I have carefully read and understand this Release and Hold Harmless Agreement. By completing this form, I affirm my identity, and verify my voluntary intent to Release and Hold Harmless HSTC. I further acknowledge that by checking the box above, it serves as my electronic signature and it is intended to and shall have the same force and effect as my handwritten signature.