I grant to Prairie Animal Health Centre, its representatives and employees the right to take photographs of me and/or my pet, and to copyright use and publish the same in print and/or electronically. I agree that to Prairie Animal Health Centre may use such photographs of me or my pet with or without my name (first names only) and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and web content, social media, and facebook. Please select* The above may take photos of me and/or my pet The above may NOT take photos of me and/or my pet Name* Address Street Address City State / Province / Region ZIP / Postal Code Date* MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.