Online Forms

Online Photographer Photo/Video Release Form

Photo(s)/video(s) were taken by on in at the following location (If the photo was taken at an OTD facility, it must also be released by the Administrator/Executive Director . See Facility Form)

Would you like us to add a photo credit if the image is used in our newsletter of print products? E.g. Photo by John Doe, 2010
Yes Not Required

Please describe the event and identify the people or OTD Member Dog by name featured in the supplied photo(s).

Image provided in the following format:(check all that apply)
Hard copy 35mm Slide Digital* Other, please specify:

Name of video/photographer:	Phone	Email

Name of witness:	Phone	Email

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

No. Please specify:

Date:

File Upload*

Digital video(s)/photo(s) can be sent by email to editor@OttawaTherapyDogs.ca

Comments:

Should you have any questions, call 613.261.6834 (OTDI) or email us at info@ottawatherapydogs.ca.

Thank you from...

Ottawa Therapy Dogs
Suite 750
1500 Bank Street
Ottawa, ON K1H 1B8

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Last Updated: December 17, 2009
info@OttawaTherapyDogs.ca