Social Media Release Form

Authorize Little Road Veterinary Clinic to use your pet’s photos, videos, and stories on social media. Share your pet’s journey and our care with others.

Social Media Release Form

Your privacy and preferences are important to us. If you prefer not to have you or your pet photographed or recorded on video, please indicate your preferences below. We will respect and honor your wishes to ensure your comfort and privacy.

"*" indicates required fields

Owner's Name*
Please select all that apply:*

By selecting one or both of the above options, you grant Little Road Veterinary Clinic, its representatives, and employees the right to take photographs and/or videos of you and/or your pet, and to copyright, use, and publish these images in print and/or electronically. You also agree that Little Road Veterinary Clinic may use such photographs and/or videos of you and/or your pet, with or without your name, for any lawful purpose, including publicity, illustration, advertising, and web content.

If you prefer not to have you or your pet photographed or recorded on video, please select one or both of the options below:*
Do we have permission to share your pet’s photo on our website, social media, and marketing channels?*
Clear Signature
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