Media Authorization & Release

For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby grant the Vermont for Reproductive Liberty Ballot Committee (together, the “VRL BC”) and their successors, assignees, and licensees (together, “Licensees”), the absolute and irrevocable right, but not the obligation, to use the Materials in accordance with the terms of this Media Authorization and Release (“Release”).

Project: The VRL BC desires to use the Materials for the purpose of advertising, publicity, promotions, advocacy, providing services, trade, or any other lawful purpose whatsoever, including, without limitation, to support the VRL BC’s business (the “Project”).

Materials: I authorize the VRL BC and its Licensees to use the materials described in Exhibit A (the “Materials”) subject to the terms and conditions of this Release. Authorized Use: I hereby grant and assign to the VRL BC and its Licensees a fully transferable and unrestricted universal license, including without limitation, the following rights in connection with the Materials, in any and all versions and media now known or created in the future, in perpetuity and throughout the world, without any future compensation to me: (1) the exclusive right to use all or any portions of the Materials in connection with the Project; (2) the exclusive right to develop, produce, reproduce, copy, modify, distribute, advertise, promote, perform, broadcast, transmit, create derivative works from, or otherwise use the Materials in connection with the Project in any manner that the VRL BC deems appropriate. I acknowledge that nothing herein requires the VRL BC to use the Materials in or in connection with the Project. If the VRL BC uses the Materials in or in connection with the Project, the VRL BC agrees to furnish me, upon my request, with a copy of that portion of the Project depicting the Materials. If the VRL BC provides me with a copy of the Project or any portion thereof, I shall not use or authorize its use by anyone else. Without limiting any of the foregoing, I specifically waive any right to inspect or approve any use of the Materials (or any derivatives thereof).

Representations: I represent that the consent of no other person or entity is required to enable the VRL BC and its Licensees to use the Materials, and that such use in accordance with the terms of this Release will not, to the best of my knowledge and belief, violate or infringe upon the trademarks, service marks, trade names, copyright, artistic, and/or other rights of any third parties, including the rights of publicity and/or privacy, in any territories where I own rights to the Materials.

Release: I specifically release and hold harmless the VRL BC and its Licensees, including their respective parents, subsidiaries, affiliated corporations, successors, assignees, licensees, trustees, officers, and employees, from any and all claims or liability that may arise out of or relate to the use of the Materials in accordance with the terms of this Release, including but not limited to any claims that such use constitutes defamation (including libel and slander), misrepresentation, invasion of privacy, or infringement of rights of publicity, copyright, trademark, service mark, trade name, or other personal or property rights, including but not limited to all claims, demands, and causes of actions that I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this Release.

Termination: I agree that this Release is effective until such time as I revoke it in writing and provide a copy of the revocation to the VRL BC, with the understanding that upon receipt of my revocation, VRL IE PAC will terminate all use of the Materials and any and all other references to me permitted under this Release in a commercially reasonable manner.

I certify that either: I am at least 18 years of age and am under no legal or contractual disability to grant the rights and so forth above or I am the parent or guardian of the minor named below and grant the above rights and make the above releases, warranties, and statements on behalf of such a minor and myself.

Exhibit A - Description and Sample of the Materials:

I authorize the VRL BC and its Licensees to use the following materials, as indicated by the checked boxes and further described below (the “Materials”), subject to the terms of this Release: photos, videos, quotes, voice, documents, name, and other materials.