Facility Photo/Video Release Online Form

Name of place of Visitation:

Name of photo/videographer: Photo/Videographer are required to complete the OTD Photo/Videographer Release Form.

I/we hereby give permission to use my name and my images, captured during regular and special therapy dog activities through video, photo and digital camera to be used solely for the purposes of Ottawa Therapy Dogs promotional material and publications, and waive any rights of compensation or ownership thereto.

Date: