Dual Photo, Video, and Social Media Release Form

Thank you for choosing Rocky Gorge Resort & Spa for your pet’s care. Please complete the Media Release Form ahead of your pet’s appointment. Your cooperation is appreciated!

Pet Parent Name *

First

Last

Pet's Name *

Primary Phone Number *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Consent of Pet Parent *

I hereby grant my consent to use photographs and/or videos of myself and/or my pet in the facility and/or on social media sites associated with Rocky Gorge Animal Hospital, Resort and Spa. If given, testimonials can also be used by Rocky Gorge.

Today's Date *