CVCA Photo Consent Form | CVCA Cardiac Care for Pets

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