hereby certify I am the owner (person responsible) for the pet(s)
I hereby grant consent to North Airline Animal Hospital, its successors, and assigns those acting under permission to reproduce, publish, calculate, and otherwise use my pets’ names, photography, videography, still, or moving images in whole or in part, or composite. I waive any right to inspect and approve the finished product or copy that may be used. This authorization and release covers the use of said materials in any published, broadcast, or electronic form, and in any medium of advertising, publicity or trade in any part of the world in perpetuity. I understand that the pictures or video footage of my pets’ may be posted/displayed, viewed by group meetings, and printed in educational materials. I further understand these pictures or video may be used in other media outlets such as social media, newsprint, & magazines.
Furthermore I for myself, my heirs, executors, administers, or assigns WAIVE, RELEASE, AND DISCHARGE all my rights, title, and interest in and to all THE FOLLOWING ENTITES OR PERSONS: North Airline Animal Hospital and/or their doctors, officers, employees, volunteers or representatives, and agents. This agreement represents in full all terms and considerations, and no other inducements, statements, or promises have been made to me.