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Photo Release Form
I grant Waleska Animal Hospital, it representatives and employees the right to take and/or use
photographs of my pet(s). I authorize Waleska Animal Hospital, it assigns and transferees to copyright,
use and publish the same print and/or electronically without compensations.
I agree that Waleska Animal Hospital may use such photographs of me and/or my pet(s) with or without
my name and/or my pet(s) name and for any lawful purpose, including for example such purposes as
publicity, illustration, advertising and web content.
I have read and understand the above:
Name of Pet (s): __________________________________________________________________
Printed name of owner:____________________________________________________________
Signature of owner: ______________________________________________________________
Date: _________________________________________________________________________