Conroevets - Social Media Consent

1
Name
Email
Pet’s name
2
I hereby give Stone Ridge Veterinary Medical Center Conroe permission to take photographs and videos of me and my pet for the purpose of posting on Stone Ridge Veterinary Medical Center’s Facebook, YouTube, Twitter, clinic website and other social media outlets.

I hereby release and discharge Stone Ridge Veterinary Medical Center Conroe from any and all claims arising out of the use of the photos.
3
Stone Ridge Veterinary Medical Center Conroe has my permission to use* This field is required.
Only my pet’s name(s)
My pet’s name(s) and my last name
My pet’s name(s) and my first and last name
4
In signing this consent, I give authorization to use my name and my pet’s name as printed below.* This field is required.
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