CONSENT TO PUBLIC USE OF INFORMATION
Please fill out one form per picture.
By signing this I give my consent for the attached photograph
of my pet (s).
(no people please) to be published by the Saskatchewan Association
of Veterinary Technologists Inc.
__________________________________________________,
Name of Pet (s)
__________________________________________________,
Color and Breed
Pictured___________________________________________.
Identification
of Picture (number)
By signing this I waive any ownership rights to material obtained;
and release the Saskatchewan Association of Veterinary Technologists
Inc. and it’s members from all claims, demands, damages
or actions or causes of actions of any nature whatsoever,
arising or to arise from the use of any aforementioned photographs.
Name (please print): _____________________________
Signature below should be of the signature of the pet’s
owner.
This is my signature: _____________________________
Today’s date: ______________________
(Signature below should be that of a witness known to you
and is familiar with the animal photographed.)
Witness Signature: _________________________ Print Name:
________________________
Date witnessed: _______________________
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