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If you would like to print out this form, please download the PDF here.
If yes, please read and sign the following:
As the owner named above, I authorize Twin Pines Veterinary Clinic, PA to use pictures of my present pet(s) and all future pets for purposes of clinic brochures, posting on Facebook, clinic website or for educational purposes. I understand that once my consent is given, it remains in effect unless and until I provide written revocation of consent.
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