Ahh...Smile Family Dentistry

Social Media Release Form

I grant permission to Ahh…Smile Family Dentistry, its representatives and employees the right to take photographs of me and/or my child/children and my property in connection with Ahh…Smile Family Dentistry. I authorize Ahh…Smile Family Dentistry, its assigns and transferees to copyright, use and publish the same in print and/or electronically.

I agree that Ahh…Smile Family Dentistry may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.

I have read and understand the above.

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Ahh...Smile Family Dentistry https://www.dentist-laredotx.com
Signature Certificate
Document name: Social Media Release Form
Unique Document ID: 679b240a648d71e31d2efc790fc46e90764ff267
Timestamp Audit
2017-05-17 20:38:54 CDTSocial Media Release Form Uploaded by Carlos Gracida Gracida - carlos@texasmedialink.com IP