"*" indicates required fields Client Name*Pet NamePhone*Email* At Burlingame Veterinary Clinic, we like to keep our clients and fans updated with cute pictures of our patients! Please let us know if you are okay with your pet(s) being featured on our social media pages by checking one of the statements below: I hereby authorize the staff of Burlingame Veterinary Clinic to upload digital pictures of my pet(s) at the clinic to the clinic Facebook account. Facebook is a social network account that is visible to all internet users, so these pictures may be present in other search engines and websites. We require authorization from every client that may have their pets’ picture taken in our clinic – i.e. new patient picture, pictures done while under anesthesia, poses with staff, etc. Please read the following statements and check one that applies to you: I give permission for the staff to upload pictures of my dog/cat(s) to the clinic Facebook account. (Feel free to ask us to share those pictures with you!) I do not give permission for the staff to upload pictures of my pet(s) to the clinic Facebook account. Owner SignatureDate MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.