Photo Release Form

"*" indicates required fields

I hereby absolutely and irrevocably authorize Laurelton Bayside Animal
Hospital to use, publish, reuse, republish, distribute, disseminate, or
otherwise make publicly available, photos or videos taken of my pet, their
patient, boarder, and/or grooming attendee.

Address*















By signing and dating this document, I waive any and all rights to approve or
otherwise review any uses of the aforementioned photographs or videos. I
am a legally competent adult of full legal age and have the right to contract
in my own name. I have read this document thoroughly and understand the
entirety of its contents in full.


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  • 1

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  • 2

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  • 3

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