Do you give permission to Midvalley Animal Clinic to use any photographs taken of your pet, in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become property of Midvalley Animal Clinic and will not be returned. I hereby authorize Midvalley Animal Clinic to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing thier programs or for any other lawful purpose.
In signing this consent, I give authorization to use my pet’s name and information as printed below.