CVCA Photo Consent Form

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Name, Position and Location*
First Last Position Location
- Agree
I give CVCA permission to use my photo on the CVCA website (www.cvcavets.com), CVCA Facebook Page (www.facebook.com/CVCAVETS), CVCA Instagram (www.instagram.com/cvcavets) and any and all marketing materials, including but not limited to The Murmur, CVCA’s quarterly newsletter and the Internal Newsletter, The Beat. I release CVCA from any liability resulting from or connected with the publication of such work.
- Do not agree
I do no give CVCA permission to use my photo on the CVCA website (www.cvcavets.com), CVCA Facebook Page (www.facebook.com/CVCAVETS), CVCA Instagram (www.instagram.com/cvcavets) and any and all marketing materials, including and not limited to The Murmur, CVCA’s quarterly newsletter.
Date
DD slash MM slash YYYY