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.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy