7/31/2019 Appearance Release Form 2012

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RELEASE

Name: Phone#:_

Address:_ Date: ______________

Email Address*: ________

*Please ensure you use the email address which is currently registered with the This Old House Home Team Panel i.e. the

address from which you receive communications from This Old House Home Team

In consideration of and during my participation in This Old House Ventures, Inc. (TOH) panel(s) to conduct

home testing of certain products and tools, I (as named above) (I or me) agree as follows:

I hereby grant TOH the absolute, irrevocable, unrestricted right and permission to include, in whole or in part, my

name, likeness, image, testimonials and quotes (collectively, Material) for use in editorial, advertising, publicity and

promotional materials created for use by TOH or TOHs advertising partners, in any and all media, including but not

limited to TOHs magazine, website, digital media and/or other third party media outlets.

I agree that the results of my participation in such panel(s) hereunder, including, without limitation, the Materials

(collectively, the Proceeds) constitute a work made for hire (as defined in the US Copyright Act) for TOH and

TOH shall be the exclusive owner of all copyright and other rights in and to those Proceeds. If the Proceeds are

deemed not to constitute a work made for hire, then to the maximum extent permitted by law, I hereby assign to TOH

all my rights in and to the Proceeds (and any extensions, renewals, revivals and reversions thereof).

I, on my own behalf, and on behalf of my heirs, assigns, executors and administrators, hereby irrevocably release and

hold harmless TOH, its advertising partners, their respective parents, affiliates, and each of their respective officers,

directors, agents, employees, representatives and assigns, from and against any and all claims (including, without

limitation, any claims for invasion of privacy, violation of the right of publicity, defamation, or for any fees in

connection with the use of my Likeness as set forth herein), liabilities,

injuries and accidents resulting from, or in any way connected with, my participation in the TOH panel(s). I represent

and warrant that I have the right and authority to enter into this Agreement.

This release reflects our entire understanding concerning this subject matter, supersedes any prior or

contemporaneous agreement with respect to its subject matter, whether written or oral, and may only be changed in

writing.

By:_

PrintName:_

If person is under the age of 21, his or her parent or authorized legal guardian must execute the following:

I represent and certify that I am the parent or authorized legal guardian of the above named person, who is now

years of age and have the right to sign this release on his/her behalf. I execute this consent, waiver and

release and the grant of rights on behalf of the above individual, myself, and our respective

heirs, assigns, executors and administrators.

By:

PrintName:_

Address:

Date:

24035

7/31/2019 Appearance Release Form 2012

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