National Doctors' Day Sweepstakes

Testimonial and Consent Form

Hello! Thank you for participating in our National Doctors' Day sweepstakes! We're excited to hear why you're grateful for your eye doctor. All you need to do is fill out the fields below:

*Required field

NAME AND LIKENESS AUTHORIZATION FOR RELEASE

We would like to share your story in our official EyeMed marketing and communication activities, including our social media accounts. If you are interested, we ask you to provide your consent by clicking "yes" here:

By replying “yes”, you are also affirming the following:

  • Your statements or representations about any product or service accurately reflect your true and honest experience and/or belief about such product or service.
  • Your name, statements, video, voice, photograph, or other likeness may be used with whatever visuals, copy, or other elements/Luxottica may determine, in its sole discretion, for all media usage (including, but not limited to, usage on the Internet), and that nothing herein shall obligate Luxottica to use my name, and will remain the sole and exclusive property of Luxottica, and understand that you will not receive any kind of payment, remuneration, compensation or consideration of any kind.
  • You hereby 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 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
  • You have the right to grant Luxottica the above-mentioned rights and are over the age of 18 and competent to contract in your own name as far as this authorization and release is concerned.
  • To read the full Name and Likeness Authorization For Release Form, see below:
    Name Likeness Authorization Release.pdf

SWEEPSTAKES RULES

NOTICE OF FINANCIAL INCENTIVE

EyeMed Vision Care LLC ("EyeMed") offers programs, benefits, and other offerings related to the collection, retention, use, or sale of your Personal Information that may be deemed a "financial incentive" or "price or service difference" under the California Consumer Privacy Act ("CCPA"). We are providing you this information so that you may make an informed decision on whether to participate in our program(s). Participation is always optional! Categories of Personal Information that we may collect when you sign up for a program include your name and email address. By signing up for any of our programs, you affirmatively opt in to receiving the financial incentive. You can end program participation at any time by contacting us at privacyoffice@eyemed.com to unsubscribe or cancel your participation in any program. We will not discriminate against you, in any manner prohibited by applicable law, for exercising these rights. Please note that we may add or change incentive programs, or their terms by posting notice on the program descriptions and terms linked to above, so check them regularly.

Financial incentives or price or service differences relate to the collection and use of Personal Information and is based upon our reasonable, good-faith determination of the estimated value of such information to our business, taking into consideration the value of the offer or benefit itself and the anticipated revenue generation that may be realized by rewarding brand loyalty. We calculate the value of the offer and financial incentive by using the expense related to the offer. Based on this analysis, the value of your Personal Information that allows us to make these offers and financial incentives is the value of the offer itself.