CDA Book Release Form
The release and bio sheet for the book of Chelmsford Dog Park participants
Email address *
First and Last Name *
Dog(s) Name(s) *
Email Address *
Phone Number *
I consent to being interviewed, photographed (myself and my pets) and videotaped for purposes of publishing a book for no material benefit to myself. *
By checking the boxes below, I agree to the above contract and hold the author, Jessica Babylon, free from any liability for results of publishing my information, limited to on-the-record notes and I further give explicit permission for photographs and videos to be used freely in the publication of a print book as well as digital version and by the photographer for non-monetary promotional purposes. By checking the boxes you agree that this acts as your electronic signature.
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