Photo Use Release Form

hereby grant and authorize Advanced
Animal Hospital the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and
all pictures or video taken of me or my pet by Advanced Animal Hospital to be used in and/or for legally
promotional materials including, but not limited to, newsletters, flyers, posters, brochures,
advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites,
social networking sites and other print and digital communications, without payment or any other
consideration. This authorization extends to all languages, media, formats and markets now known or
hereafter devised. This authorization shall continue indefinitely, unless I otherwise revoke said
authorization in writing.

I understand and agree that these materials shall become the property of Advanced Animal Hospital and
will not be returned.

I hereby old harmless, and release Advanced Animal Hospital from all liability, petitions, and causes of
action which I, mt heirs, representative, executors, administrators, or any other persons may make while
acting on my behalf or on behalf of my pet/estate.