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Get and Sign College of Veterinary MedicineLincoln Memorial University Form
And Student to photograph video and/or audio record the care and treatment of Owner s pet/animal and to use reproduce and distribute the Media as indicated above. This release shall be binding upon me my heirs assigns and legal representatives. Pet/Animal Owner Print First and Last Name City and State Zip Code optional Email Address optional Optional I give permission to release identifying information of myself and my pet/animal. Initials Date Veterinarian or Authorized Representative Print...
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