Submit A Story About Your Smith Ridge Experience

Thank you for allowing us to serve you and thank you for being willing to share your experiences at Smith Ridge Veterinary Center with others. Follow the prompts in the form below to enter the information you would like to have displayed. In addition to your text comments you can also enter up to 2 photos of your pet. We do need your pet's name and your contact information so that we can contact you if we have any questions. None of your contact information will be displayed on our site. Thank you again for your time and efforts!
If you have any questions, please email us.
The only fields in this form that are NOT required are Address Line 2 and Photos

Owner Information

*Owner First Name
*Owner Last Name
*Address Line 1:
Address Line 2:
*City:
* Zip/Postal Code:
*Phone:
*E-Mail:
*Confirm E-Mail:

Pet Information

*Name
*Breed
*Title -one line
*Summary - one line

Please enter your comments in the box below:

Pet Photos - Upload photos in jpg, gif or png


Photos should be no larger than 500x500. Any submitted photo will be resized to a maximum width of 300.
Photo 1
Photo 2

Release of Liability

The undersigned provides their Smith Ridge Veterinary Center testimonial under the following agreement and understanding:
  1. I understand and accept that my pet's information and photographs accompanying each story may be used for publicity purposes or other commercial purposes by Smith Ridge Veterinary Center and hereby waive, release, and assign my private rights to the production, reproduction, and publication of any photographs, images, or story which depict my pet.
  2. I understand and accept that neither my name nor contact information will be included with any use of my Smith Ridge Veterinary Center testimonial, except as I have indicated below in "Show My Name As".
*Name
*Date
 



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