Disclaimer Form – Mendip Vets

Your Name*

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Last

Please enter your address below.*

Please enter your email address below.*

Please enter your phone number below.*

Please enter the name of your current veterinary practice*

Please confirm acceptance of our Cancellation Policy*

I confirm acceptance

See Cancellation Policy here

Please confirm acceptance of our liability waver declaration. *

I confirm acceptance

Please see Liability Declaration here.

Please confirm acceptance of our Data Protection and Cookie Policy. *

I confirm acceptance

Please see Data Protection and Cookie Policy here

COVID Vaccination Status

Consent for photography/filming. Please tick if you agree/disagree.*

I consent to photography/filming

I do not consent to photography/filming

Please see consent declaration for photography/filming here.

I agree to you contacting me with details of other services you provide. Where relevant you may contact me by, (tick if accepted all that apply, your details will not be shared with third party companies):*

Postal Mail

Telephone

Do not contact me

Are you human?*

This field should be left blank