"*" indicates required fields I grant permission to Clarksville Animal Clinic, its employees, and authorized representatives to take photographs and/or videos of me and/or my pet(s), to copyright, use and publish the same in print and/or electronically. Clarksville Animal Clinic, may also use and publish my pet's story, including relevant medical history.I agree that Clarksville Animal Clinic, may use such photographs, videos, or stories including me and/or my pet with or without our names and for any lawful purpose, including for example such purposes as social media, publicity, advertising, and other web content* Accept Decline Pet's Name*Signature*Date* MM slash DD slash YYYY Owner's Printed Name* First Last EmailThis field is for validation purposes and should be left unchanged.
