Permission to Use Photograph & Record

I grant to Honeoye Falls Veterinary Hospital, its representatives and employees the right to take photographs and recordings of me and my pet, my undersigned minor children, my pet(s) and my property in connection with the above-identified subject. I authorize Honeoye Falls Veterinary Hospital, it’s assigns and transferees to copyright, use and publish the same in print and/or electronically.

I agree that Honeoye Falls Veterinary Hospital may use such photographs or video of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

I release Honeoye Falls Veterinary Hospital from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize Honeoye Falls Veterinary Hospital to use their photographs and names.

This permission will be granted for as long as I’m a client and for all pets listed in my medical record.