I, the undersigned, hereby grant to Dry Eye Healing Institute, PLLC, its officers, employees,
agents and their respective licensees, successors, and assigns a perpetual, irrevocable,
royalty-free license to use my name and/or other information, including voice recordings,
photographic or videotape image, picture, and likeness, and any material based upon or derived
therefrom (collectively, the “Licensed Materials”) in any manner or media, including social
media, for purposes of teaching, marketing, advertising, promoting, and publicizing Dry Eye Healing
Institute & Dr. Jennifer Shaba.

I acknowledge and agree that I have no right of approval, and no claim to compensation for the
use of the Licensed Materials.