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I hereby grant permission to Fenton River Veterinary Hospital of Tolland, Stafford, and Ashford, to use images of myself and my pets. Such use includes the display, distribution, publication, transmission or otherwise use of photographs, images and/or videos taken for use in materials that include, but may not be limited to, printed materials such as brochures, newsletters, videos, and digital images used on Fenton River Veterinary Hospital of Tolland, Stafford, and Ashfords website and social media, such as Facebook, Instagram, TikTok, Youtube, and the hospital blog.
In signing this consent, I give authorization to use my name and my pet’s name as printed below. I understand that my consent is freely given and that there has been no promise of compensation, payment, goods or services to be provided for any such use and have no expectation to receive compensation, payment, goods or services.
Fenton River Veterinary Hospital has my permission to use:
I DO NOT give consent or permission for the use of images of myself or my pets for Fenton River Veterinary Hospital of Tolland, Stafford, or Ashford.
Owner's Name*
Your printed name acts as your digital signature.
For a copy of this form for your records
Pet's Name*
To add more pets, please click the plus button
Name
Breed
Age
 
Date
This field is for validation purposes and should be left unchanged.