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Photo and Video Release Form

Complete your photo and video release form online!

Name *

First

Last

Email *

Pet's Name *

I, hereby grant permission to the rights of my pet's image, likeness and sound of his/her voice as recorded on audio or video without payment or any other consideration to Chester Valley Veterinary Hospital. I understand that my pet’s image may be edited, copied, exhibited, published or distributed and waive any right to royalties or other compensation arising or related to the use of my pet’s image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area. *

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Chester-Valley

Have you or your pets been seen at Chester Valley Veterinary Hospital within the last 2 years?

Yes

No

Chester-Valley

We are not currently seeing New Clients for Wellness. However, if your pet is sick please see our Urgent Care Walk Ins option.

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