Photo Release Form Photo and Video Release I grant the partners Aldie Veterinary Hospital or Dulles South Animal Emergency & Referral Hospital of Dulles South Veterinary Center (DSVC), it’s representatives and employees the right to take photographs and/or videos of me and/or my pet, and to copyright, use and publish the same in print and/or electronically.Photo and Video Release I agree that DSVC may use such photographs and/or videos of me and/or my pet with or without my name and for any lawful purpose including, for example, publicity, illustration, advertising, and web content.Select all that apply* DSVC may take photos and/or videos of my pets DSVC may take photos and/or videos of me with my pet DSVC may NOT take photos and/or videos of me nor my petName First Last Signature