By signing this form (the “Consent and Release”), I authorize the Healthcare of Ontario Pension Plan Trust Fund (“HOOPP”) the right to use my name, my testimonial (audio, visual, or written, as
submitted) in whole or in part, or any other information I submit (except my contact information) (“Testimonial Materials”) as well as my name, likeness, personal photographs I provide, my job title and the name of my
employer, and other personal characteristics and information (“Personal Information”) in connection with the final work product of HOOPP communications/marketing materials (“HOOPP Communications”).
I further authorize HOOPP to use and disclose the Testimonial Materials, Personal Information and all related derivative works in its marketing, communications and public relations efforts within HOOPP’s sole discretion. I grant permission to
HOOPP to edit the Testimonial Materials in HOOPP’s sole discretion. I acknowledge that the Testimonial Materials and my Personal Information, in whole or in part, may be distributed to the media, on various social media platforms, and on HOOPP’s
websites as part of HOOPP Communications. It may also be disclosed to other individuals and entities that may be involved in or in receipt of HOOPP Communications, and to all HOOPP employees, consultants, and the public. I also acknowledge that HOOPP
owns the rights to the Testimonial Materials.
By signing this Consent and Release, I understand I am irrevocably waiving all legal and equitable rights relating to all liabilities, claims, demands, actions, suits, damages, and expenses, including but not limited to claims for copyright or trademark
infringement, infringement of moral rights, libel, defamation, invasion of any rights of privacy (including intrusion upon seclusion, false light, public disclosure of private facts, and misappropriation of name or likeness), violation of rights of
personality or publicity, physical or emotional injury or distress, or any similar claim or cause of action in tort, contract or any other legal theory, now known or hereafter known in any jurisdiction throughout the world (collectively, “Claims”)
arising directly or indirectly from HOOPP’s production, exhibition, exploitation, advertising, promotion, or other use of my video testimonial and whether resulting in whole or in part by the negligence of HOOPP or any other person, agree to
not to make or bring any such Claim against HOOPP and forever release and discharge HOOPP from liability under such Claims.
Please see HOOPP’s Privacy Statement and Terms of Use for
more information.
By submitting my name, my testimonial, and other information, I agree to these Terms and Conditions.