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PHOTO & MEDIA RELEASE FORM

Brigadoon Service Dogs
PO Box 28536
Bellingham, WA 98228
Phone: (360) 733-5388
Email: information@brigadoondogs.org

I grant to Brigadoon Service Dogs the right to take photographs/videos of me in connection with the organization and any events relating to the organization. I authorize Brigadoon Service Dogs, its assigns and transferees to copyright, use and publish the same in print, and/or electronically.

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I agree that Brigadoon Service Dogs may use such photographs and videos of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.

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I have read and understand the above:

*Parent/Guardian MUST sign on behalf of minors

Thanks for submitting!

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