NAME AND LIKENESS AUTHORIZATION AND RELEASE

By submitting my story and any materials or photos, I grant Pearle, Inc., its parents, subsidiaries, affiliates, agents, and assigns (collectively "Luxottica") the absolute and irrevocable right and permission to use, re-use, publish, re-publish, publicly display, perform, transmit, exhibit, and reproduce my name, address, e-mail address, statements, video, voice, photograph, or other likeness and such materials or photos ("My Story"), in whole or in part, individually or in conjunction with other material, in any medium, including the Internet (whether now known or hereafter invented) and for any and all purposes, including but not limited to advertising, publicity, promotion, packaging, and trade, throughout the world without restriction as to manner, frequency, or duration of usage.

I agree that Luxottica is not obligated to use My Story. I further agree that all materials I provide to Luxottica are and will remain the sole and exclusive property of Luxottica, and that I will not receive any kind of payment, remuneration, compensation or consideration of any kind. I represent and warrant that I have the right to grant Luxottica the above-mentioned rights without obtaining the permission of, or making any payments to, any third party or entity. I waive any right I may have to inspect and approve any materials that may incorporate My Likeness, and release and discharge, indemnify and hold harmless Luxottica and its officers, directors, employees, contractors, agents, and any designees, including without limitation, Luxottica's licensees, successors, and assigns, from and against any and all liabilities, losses, claims, demands, costs (including without limitation attorneys fees) and expenses arising out of or in connection with any use granted hereunder, including but not limited to any claims for defamation, invasion of privacy, right of publicity or copyright infringement.

Regarding statements or representations attributable to me and provided by me, I hereby warrant and represent that such statements or representations accurately reflect my true and honest experience and/or belief. I agree to execute such additional documents confirming this as Luxottica may reasonably require.

I represent that I am over the age required by law to enter into binding agreements and that I have no conflicting contractual obligations that would interfere with my granting the rights herein granted.

LEGAL DISCLAIMER

Any notes, messages, stories or other material which you submit must not harass, slander, malign, libel, defame, threaten, or otherwise violate any rights of any third-parties and must not include any profanity, obscene, indecent, pornographic, defamatory or unlawful material. Do not submit photos of celebrities or any photos that you do not own or have rights to. Anything you submit will become,upon your submission, the sole and exclusive property of Pearle, Inc., its parents, subsidiaries, affiliates, agents, and assigns (collectively "Luxottica"), and Luxottica shall be and is entitled to use your submission for any type of use in perpetuity, and including in any and all media whether now known or hereafter devised.

Any and all material you submit will be treated as, non-confidential and non-proprietary, except as otherwise may be stated in our Privacy Policy.