I,   * ,  grant to Flora Family Vet, its representatives and employees, the right to take photographs of me and/or my pet(s), and to copyright, use, and publish the same in print and/or electronically. I agree that Flora Family Vet may use such photographs of me and/or my pet with or without my name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, or web content, included on social media platforms such as Facebook, Instagram, TikTok, clinic website, and other social media platforms.

I hereby release and discharge Flora Family Vet from any and all claims arising out of the use of the photos or information.

After carefully reading the above, I have signed in agreement.

Signature *

Date *   

Printed Name *