RECIPE TO RICHES (the “Program”)

APPLICANT’S RELEASE FORM

NOTE: YOU MUST PROVIDE A FULLY SIGNED HARD COPY OF THIS RELEASE FORM WITH YOUR SUBMISSION PACKAGE. DEFINED TERMS USED HEREIN, UNLESS OTHERWISE DEFINED HEREIN, SHALL HAVE THE MEANINGS ASCRIBED TO THEM IN THE COMPETITION RULES.

1. I understand that if I consider my Recipe a trade secret or otherwise wish to keep my Recipe or any ingredient, element or idea therein confidential I should not participate in this Competition or submit a Recipe either through an Online Entry or by attending an Open Call. By submitting a Recipe in connection with the Competition, I acknowledge and agree that such submission constitutes public disclosure of the Recipe. I acknowledge and agree that there is no obligation of confidentiality or fiduciary duty owed to me by any Competition Entity in respect of the Recipe I submit. A third party, including, without limitation, any Competition Entity may reproduce, display, publish, exhibit, develop, manufacture, market, sell or distribute a recipe or product which is similar or identical to my Recipe or any elements or ideas contained therein throughout the world in perpetuity. I understand and agree that such third party or Competition Entity has an independent legal right to do so including, without limitation, because the Recipe, elements or ideas are not new or novel, are in the public domain or otherwise publically available, were not created by me, or because other persons have submitted similar or identical recipes, elements or ideas, or because such recipes, elements and ideas have been independently conceived or developed by other persons.

2. I represent and warrant that:

(a) I am over the Age of Majority in my province or territory of residence as of the date I submit my Online Entry, or the date on which I attend an Open Call, or the earlier of both dates, if I both submit an Online Entry and attend an Open Call.

(b) I am a legal resident of ;

(c) I am not, and have never been, a professional in the food or recipe preparation industry, including, but not limited to, a professional chef, cook, baker, caterer, food stylist, recipe book author for commercial distribution, or otherwise involved in a similar role in the professional preparation of food or recipes;

(d) I do not have a criminal record or pending criminal charges.

(e) I have not entered into any contractual, commercial, sponsorship or other arrangement in respect of my name, likeness, image or biography that would prevent me from participating in the Competition and/or the Program, or the broadcast and promotion thereof.

I acknowledge and agree that Producer reserves the right, in its sole discretion, to determine compliance with any or all of the foregoing requirements.

3. I further represent that I am not an employee, agent, representative, officer or director of the following entities, nor do I reside with any such individual (whether related or not) nor am I a member of the immediate family (defined as parent, child, sibling or spouse, regardless of where they live) of any such individual: Temple Taste III Productions Limited; Temple Street Productions Inc., the Canadian Broadcasting Corporation (“CBC”); Inc. (“Loblaws”); the judges of the Program; the host of the Program; any person or entity connected with the production, administration or judging of the Competition or the Program; and their respective advertising and promotional agencies, affiliates, subsidiaries, franchisees, agents or representatives of any of the foregoing entities including in the case of Loblaws, operations conducted under its various banner names including but not limited to: Loblaws, , Real Canadian Liquorstore, No Frills, , T&T , Real Canadian Wholesale Club, Loblaw Great Food, Loblaws Great Food , Zehrs Markets, Zehrs Great Food, valu-mart, , Maxi, Maxi & Cie, Club Entrepôt, Les Entrepôt Presto, SaveEasy, Atlantic SuperValu, , Atlantic Cash & Carry, Axep, Bloor Street Market, , , L'inter Marché, Lucky Dollar, Shop Easy, SuperValu West, NG Cash & Carry and Wholesale Club (collectively, the “Competition Entities”).

4. I have read and agree to abide by the Competition Rules as revised from time to time by Producer and accept all decisions of the Producer and/or Producer’s Designated Representatives, the Judges (and, where applicable, the decision of the voting public) with respect to the Competition and the Program as final and not subject to challenge or appeal and hereby acknowledge that the interests of the Program shall override those of any Applicant, as determined by Producer in its sole discretion. I further acknowledge and agree that if I am invited to be a Participant and choose not to be a Participant, as determined by Producer in its sole discretion, if I am unavailable to travel and/or participate in the Program, as determined by Producer in its sole discretion, fail to provide any necessary documentation, or otherwise fail to comply with the Competition Rules, I will not be eligible to be a Participant and Producer may select another Applicant, using the same criteria as outlined in the Competition Rules, to invite him/her to be a Participant. I acknowledge and agree that, if I am chosen as a Category Winner, depending on the air date of the episode in which I appear, my Recipe will be available in grocery stores as President’s Choice®* or other Loblaws branded products for a length of time that may be shorter or longer than the length of time other Category Winner’s products are available in grocery stores prior to the public vote to determine the Grand Prize Winner. I further acknowledge and agree that any such variance is a result of production scheduling only and I irrevocably release the Competition Entities from any responsibility or liability for such variance including for any claim that such variance may impact, or has impacted, the outcome of the public vote to determine the Grand Prize Winner.

5. I have answered all questions in the Application Form honestly and accurately and will answer all questions posed to me by the Producer honestly and accurately. If any of the information that I have provided or will provide is found to be false, misleading or incomplete, it may be grounds for the rejection of my Submission Package, my being disqualified from the Competition or as a Participant in the Program (if selected as a Participant) and/or the return of any prize or other benefit I may have received as a Competitor, whether or not such prize/benefit has already been awarded to me, as determined in Producer’s sole discretion.

6. Even if I meet the eligibility requirements, the Producer has no obligation to view my Video (if I submit one), taste my Recipe Submission or have Producer’s Designated Representatives taste my Recipe Submission at an Open Call, to contact me and/or to select me as a Participant. Even if I pre-register to attend an Open Call, it is not guaranteed that the Producer or the Producer’s Designated Representatives will taste my Recipe Submission nor will pre-registration increase the

likelihood of being selected as a Participant. Even if I am selected as a Participant, neither the Producer nor any other Competition Entity has the obligation to produce the Program or to broadcast the Program, even if it is produced. All decisions by the Producer concerning selection of the Applicants as Participants are final and not subject to challenge or appeal. The Producer shall own and shall have no obligation to return or maintain any physical materials submitted by me as part of my application whether or not I am or am not selected as a Participant.

7. I represent and warrant that my Recipe: (i) complies with the Competition Rules; (ii) is my creation and that (a) I am the sole and exclusive owner of all right, title and interest (including any copyright) in and to the Recipe, and (b) I have the right and authority to grant the rights in and to the Recipe as contemplated by the Competition Rules; (iii) is not the subject of any trademark, patent or copyright or the subject of any actual or threatened litigation or claim; (iv) does not violate or infringe upon the rights of any third party including, without limitation, intellectual property rights, and use of the Recipe as contemplated by the Competition Rules will not give rise to any claims of infringement; (v) has never been professionally published (e.g., in cookbooks or magazines or their online equivalents), commercially exploited, or competed in or won any other television competition, national contest, or professional award. I understand that the Producer may, in its sole discretion, permit me to submit a Recipe that has been commercially exploited on a small scale provided that I have disclosed the nature and extent of the commercial exploitation in my Application Form; (vi) does not include any references to commercial content (including, without limitation brand names, trade names, trademarks, service marks or logos of any third parties) or otherwise promote any brand, product or service; and (vii) does not contain any ingredient(s) that may not be legally purchased within Canada.

8. I hereby irrevocably grant to Producer the unlimited right and permission to copy, reproduce, display, broadcast, publish, distribute, edit, adapt, modify and otherwise use, worldwide in perpetuity, all or any part of the Recipe in any form of media, including, without limitation, television and the Internet, in connection with the Program, including, without limitation, any advertising, promotion or publicity of the Program, and I waive any and all moral rights in and to the Recipe, in either case without notice or compensation (collectively, the “Rights”). I understand that Producer reserves the right to sublicense the Rights to any third party, including the Competition Entities.

9. I represent and warrant that, if I submit an Online Entry and/or pre-register to attend an Open Call and submit a link to or upload a Video in connection with such Online Entry and/or pre- registration, my Video: (i) complies with the Competition Rules; (ii) is my original creation and I am the sole and exclusive owner of all right, title and interest (including any copyright) in and to the Video, and I have the right and authority to grant the rights in and to the Video as contemplated by the Competition Rules; (iii) is not the subject of any actual or threatened litigation or claim; and (iv) does not violate or infringe upon the rights of any third party including, without limitation, copyright, trademark, rights of publicity and privacy, and use of the Video as contemplated by the Competition Rules will not give rise to any claims of infringement.

10. If I submit an Online Entry and/or pre-register to attend an Open Call and submit a link to or upload a Video in connection with such Online Entry and/or pre-registration, I hereby irrevocably grant to Producer the unlimited right and permission to copy, reproduce, display, broadcast, publish, distribute, edit, adapt, modify and otherwise use, worldwide in perpetuity, all or any part of the Video, including any still photos taken therefrom, in any form of media, including, without limitation, television and the Internet, in connection with the Program, including, without limitation, any advertising, promotion or publicity of the Program, and I waive any and all moral rights in and to the Video, in either case without notice or compensation.

11. I acknowledge and agree that, if I am selected as a Participant in the Program, I will be required to read, approve and sign a Confidentiality Agreement which will require me to keep any and all information regarding the Competition, including any information regarding the businesses of the Competition Entities, completely confidential and to not conduct any interviews or provide any comment or information to the public, the media or any individual other than Producer or Producer’s Designated Representatives without the consent of the Producer, including, without limitation, information regarding the outcome of the Program, the identity of the Producer’s Designated Representatives, the Host and/or any of the Judges, the performances of any Participant (including, if I am selected as a Participant, my own performance), any and all actions and comments of the Participants, Judges, Host, Producer and/or Producer’s Designated Representatives, and the Competition Rules. I acknowledge and agree that the Confidentiality Agreement shall include a consent to enforcement of its terms by means of injunctive relief.

12. I acknowledge and agree that, if I am selected as a Participant in the Program, I will be required to read, approve and sign a release form provided by Producer (the “Participant’s Release Form”) which will include, without limitation, a grant of rights to use the Recipe and my name, image and likeness to the Producer (Temple Taste III Productions Limited) that shall be licensed to CBC and its licensees, assignees, parent, affiliated and subsidiary companies and authorized representatives and certain restrictions, obligations, and limitations on my ability to use the Recipe.

I understand that in addition to the above, the Participant's Release Form will require me to grant the following rights to the Producer (Temple Taste III Productions Limited) which rights may be licensed to Loblaws and its licensees, assignees, parent, affiliated and subsidiary companies and authorized representatives, and which will require me to agree to certain restrictions, obligations, and limitations on my ability to use my Recipe, other recipes, and my name, image, personality and likeness:

(i) in consideration for the opportunity to appear as a Participant on the Program and compete in the Competition, in addition to any rights the Producer or Competition Entities may have, I agree to: (a) irrevocably grant, on behalf of myself and my heirs, executors, administrators, successors and assigns, to Producer a perpetual, worldwide, irrevocable, transferable, sublicensable license in and to the Recipe, including, without limitation, all copyright therein, and the right to perform, market, sell, distribute, produce, reproduce, store, copy, transmit, transfer, exhibit, publish, post, edit, adapt, create derivative works from, and or otherwise use without limitation the Recipe in any and all media throughout the universe, whether now known or existing in the future, in whole or in part, whether in association with my name, image or likeness or otherwise; and (b) waive any and all moral rights in and to the Recipe in favour of the Producer, Loblaws and their respective licensees, assignees, parent, affiliated and subsidiary companies, and authorized representatives. The grant of rights set out in (a) above shall be exclusive to Producer for a period of eighteen (18) months following the first broadcast of the final episode of the Program and non- exclusive thereafter. For greater certainty during such eighteen (18) month exclusive period, I will agree not to license, assign or grant any right, title or interest in the Recipe or a modified version to a Loblaws Competitor (as defined by Producer in its sole discretion, such definition to be set out in the Participant Release Form) whether in association with my name, image or likeness or otherwise. I also agree to restrictions on my ability to appear on television and other entertainment media and to restrictions on my right to sell, license and/or grant rights to any other recipes within the same Category to a Loblaws

Competitor (as defined by Producer in its sole discretion, such definition to be set out in the Participant Release Form), or to grant the use of my name, image or likeness to a Loblaws Competitor or to act as a spokesperson or other public representative for a Loblaws Competitor prior to, during, and for eighteen (18) months following the first broadcast of the final episode of the Program. I acknowledge and agree that the license described above includes, but is not limited to, the right of Producer (but not the obligation) at Producer’s sole and absolute discretion, to sublicense such rights to Loblaws and that Loblaws may use the Recipe, or a modified, edited or translated version thereof, in whole or in part, for any commercial or non-commercial purpose, including, without limitation, merchandising and the publication of a cookbook or other book, without compensation, notice or approval. In addition, my Recipe and my name, image, and likeness may be published online by Producer, CBC or their successors and assigns and may be available to all audiences or users to be reproduced or used for their own use.

(ii) in the event I am declared a Category Winner, in consideration for the prize money awarded to me in the Competition, in addition to any rights the Producer or Competition Entities may have, I agree to: (a) irrevocably assign and grant, on behalf of myself and my heirs, executors, administrators, successors and assigns, to Producer on an exclusive, worldwide, perpetual, irrevocable, transferable, and sublicensable basis, all right, title and interest in and to the Recipe, including, without limitation, all copyright, and the right to perform, develop, manufacture, market, sell, distribute, produce, reproduce, store, copy, transmit, transfer, exhibit, publish, post, edit, adapt, create derivative works from, trademark, copyright and or otherwise use without limitation, the Recipe and any product derived therefrom in any and all media throughout the universe, whether now known or existing in the future, in whole or in part, whether in association with my name, image or likeness or otherwise; and (b) waive any and all moral rights in and to the Recipe in favour of the Producer, Loblaws and their respective licensees, assignees, parent, affiliated and subsidiary companies, and authorized representatives. The assignment and grant of rights set out in this Section 12(ii)(a) above shall be exclusive to Producer, worldwide, in perpetuity save and except that I shall be able to continue to use the Recipe in the ‘same manner’ and on the ‘same scale’ (as these concepts are further described in the Participant Release Form) as the Recipe was used prior to my submission of the Recipe in the Competition, provided such use was made known to Producer by me prior to me being declared a Participant on the Program. I will also agree to restrictions on my ability to appear on television and other entertainment media and to restrictions on my right to sell, license and/or grant rights to any other recipes within the same Category to a Loblaws Competitor, or to grant the use of my name, image or likeness to a Loblaws Competitor or to act as a spokesperson or other public representative for a Loblaws Competitor prior to, during, and for two (2) years after the first broadcast of the final episode of the Program. I also agree to grant a right of first refusal in favour of Loblaws to license or use any other recipes for a period of two (2) years after the first broadcast of the final episode of the Program as more fully described in the Participant Release Form. I acknowledge and agree that the grant of rights described above includes, but is not limited to, the right of Producer (but not the obligation) at Producer’s sole and absolute discretion, to grant such rights to Loblaws and that Loblaws may use the Recipe, or a modified, edited or translated version thereof, in whole or in part, for any commercial or non-commercial purpose, including, without

limitation, the right to produce a President’s Choice®* or other Loblaws branded product, and the right to market, advertise or sell such product, without any additional compensation, notice or approval.

(iii) in the event I am declared the Grand Prize Winner, in consideration for the grand prize money awarded to me in the Competition, in addition to any rights the Producer or Competition Entities may have, I agree to further restrictions on my ability to appear on television and other entertainment media, and to restrictions on my right to sell, license and/or grant rights to any other recipes within the same Category to a Loblaws Competitor, or to grant the use of my name, image or likeness to a Loblaws Competitor or to act as a spokesperson or other public representative for a Loblaws Competitor prior to, during, and for five (5) years after the first broadcast of the final episode of the Program.

13. I acknowledge and agree that all decisions regarding the production, marketing, advertising, sale or use of the Recipe and/or any product derived therefrom shall be at Producer’s sole discretion. I further acknowledge and agree that I will have no right of approval or consultation and I will not receive any notice, compensation or credit for the use or non-use of my Recipe, my Video (if applicable), or for my participation in the Program or any activities related thereto, other than the awarding of the prizes as described in the Competition Rules.

14. I represent and warrant that I will not take any photographs or audio or video recordings of the Open Calls, and by submitting an Online Entry or attending an Open Call, I agree to keep any and all information regarding the Competition completely confidential and to not conduct any interviews or provide any comment or disclose any information to the public, the media or any individual other than Producer or Producer’s Designated Representatives without the written consent of the Producer, including, without limitation, information concerning or relating to the Program, information regarding the Recipes and/or the performances of any Applicant, including my own Recipe and/or performance, the identity of the Producer’s Designated Representatives, the Host and any of the Judges, any and all actions and comments of any Applicant, Judge, Host, Producer and/or Producer’s Designated Representatives, and the Competition Rules.

15. I acknowledge and agree that all elements of the Competition will be taped and that Producer shall have the right to photograph, videotape and/or film me and record my voice and performance at any time in connection with the Competition and to include such photographs, film and recordings in the Program, any subsequent seasons of the Program, and any ancillary or related productions, including “making-of” and “behind-the-scenes” productions (collectively, the “Series”). I further acknowledge that Producer is and will be the sole owner of all right, title and interest in and to any such photographs, film and recordings taken in connection with the Competition.

16. I hereby irrevocably grant to Producer and Producer’s Designated Representatives the right, in connection with the Series to use, exploit and distribute, in whole or in part, by all means and in any manner and media whatsoever, whether now known or hereafter created, including, without limitation, the Internet, worldwide in perpetuity, my Submission Package and any materials or information derived therefrom or submitted by me in connection with the Competition including, without limitation, my Recipe and any Video submitted by me, if applicable (collectively, the “Materials”) and my name, likeness, image, voice and biographical information, performances, appearances, and comments, and any recordings or still photos taken of me during the Competition (collectively, “Likeness”), as such Likeness may be edited, altered or modified by Producer, without any further consent or compensation of any nature or kind, for any purpose whatsoever, including, without limitation, for use in the Series, in any merchandising, packaging,

or ancillary products or materials developed in connection with the Series, and for the purposes of advertising, promotion and publicity. Without limiting the foregoing, Producer shall be entitled to alter or modify my Likeness (regardless of whether or not I am recognizable) and license others to use and exploit such Materials and my Likeness in connection with the Series. Furthermore, I irrevocably waive any and all moral rights to the extent that they may be waived, including without limitation, the rights of integrity, attribution and association, to which I am now or may later become entitled in any part of the world, and grant any additional rights under the Canadian Copyright Act (and any amendment or re-enactment thereof) and under all similar or other laws in any part of the world that may create rights in the Material, including without limitation any and all personality and privacy rights, to enable the Producer to make fullest use of the Material without restriction in connection with the Program.

17. Producer may use and license others to use my Likeness and the Materials in connection with any promotion, publicity, marketing or advertisement for the Series or any exploitation of the Series of any kind. I grant the rights hereunder whether or not I am selected as a Participant.

18. I understand and acknowledge that the Competition Entities are not responsible for, are in no way liable for, and by entering the Competition I hereby release and agree to hold harmless the Competition Entities from and against any and all claims, actions, damages, liabilities, losses, costs and expenses (including, without limitation, legal fees) arising out of or resulting from the Competition or any Competition-related activity including, without limitation, any injuries, losses or damages directly or indirectly caused by: (i) the administration (including scheduling) of the Competition including any failure of transportation or inability for any reason to participate in an Open Call even if such transportation is provided by Producer; (ii) my participation or any third party’s participation in the Program, the submission process, or the selection or disqualification of any Competitor, including myself; (iii) the decisions of the Judges, Producer and/or Producer’s Designated Representatives and/or the public; (iv) the order of airing of each episode of the Program, the schedule for launch of Category Winners’ commercialized Recipes as President’s Choice®* or other Loblaws branded products, and the duration of availability of such products prior to public vote to determine the Grand Prize Winner; (v) the acceptance, possession, use or misuse of any prize; (vi) any printing, typographical or technological errors in any materials associated with the Competition; and (vii) any breach of a representation, warranty, or obligation undertaken by me, including, without limitation, the exercise by the Competition Entities of any of the rights granted by me with respect to my Recipe or the Competition, including, without limitation, any exploitation or use of my Likeness and/or the Materials or for any infringements or claims resulting from the exploitation of the Recipe as a President’s Choice®* or other Loblaws branded product, in accordance with the terms hereof. Without limiting the generality of the foregoing, I understand and agree that the Competition Entities shall not be responsible for: (a) any incomplete or inaccurate information that is provided by website users, or any incomplete or inaccurate information that is caused by any of the equipment or programming associated with or utilized in the Competition, or by any technical or human error which may occur in the processing of Submission Packages or Online Entries or any element thereof (online or in person) in the Competition; (b) lost, interrupted, or unavailable network, server, service provider, on-line systems, telephone networks or telephone lines, or any other connections; (c) the theft, destruction, loss or unauthorized access to, or alteration of, my Recipe Submission, Submission Package or Online Entry or any element thereof; (d) any problems with, or malfunctions or failures of, telephone networks or lines, computers or computer on-line systems, servers or providers, computer equipment, software, viruses or bugs; (e) garbled transmissions or miscommunications; (f) failure of any e-mail to be received by or from the Competition Entities for any reason, including but not limited to traffic congestion on the Internet or at any website or combination thereof or technical incompatibility; (g) damage to my computer equipment (software or hardware) occasioned by participation or downloading of materials related to this

Competition; (h) printing, distribution, programming or production errors, and any other errors or malfunctions of any kind, whether human, mechanical, electronic or otherwise; or (i) technical, pictorial, typographical or editorial errors or omissions contained herein.

19. I hereby release the Competition Entities from any liability arising from, and agree to not make any claim against the Competition Entities as a result of, my participation in the Program and/or the recording or use of my Likeness and/or Materials (including, without limitation, any claim that such use invades any right of privacy and/or publicity and any claims based on defamation or libel or false light).

20. IMPORTANT - Background Check Consent: I understand that all information that I provide to the Producer and/or Producer’s Designated Representatives in order to qualify me for consideration as a Participant and, if selected as a Participant, for the opportunity to compete on the Program, will be used solely for the purpose of making casting and other similar decisions for the production (and public viewing) of the Series. This includes, in Producer’s sole discretion, conducting background checks to verify my identity and stated history. In connection therewith, by submitting my Materials, I authorize Producer and/or its authorized agents to undertake a background investigation including, but not limited to, a criminal background check, a previous employment check, a references check, an education verification check and verification of any and all information I have provided to Producer and/or Producer’s Designated Representatives, and I authorize all corporations, companies, educational institutions, persons, law enforcement agencies, criminal, civil and federal courts, and former employers to release information they may have about me to the Producer and/or its authorized agents. I understand that in the course of these investigations, the Producer may be required to disclose to these entities personal information that I have provided to Producer and/or Producer’s Designated Representatives or that Producer has obtained from third parties. In the event that Producer thinks, in its sole discretion, that disclosure to a third party, including any of the Competition Entities, is necessary to carry out any services Producer requires to produce the Program, I authorize Producer to disclose my personal information to these service providers. By submitting my application materials to the Producer I consent to the collection, use and disclosure of my personal information in the ways stated in this Applicant Release Form and as described in the Privacy Policy published on the Website on the understanding that Producer will not use the Materials for any other purpose not disclosed in this Applicant Release Form, the Privacy Policy and/or the Competition Rules without contacting me first for my permission to do so (except as otherwise required by law). I hereby release the Competition Entities from any and all liability arising out of the collection, use and disclosure of my personal information in the ways stated in this Applicant Release Form and the Privacy Policy and agree not to make any claim against the Competition Entities in respect of such use (including, without limitation, any claim that such use invades any right of privacy and/or publicity and any claims based on defamation or libel or false light).

21. I acknowledge that no fees, royalties, residuals or other consideration will be payable to me in respect of any broadcast, subsequent rebroadcast or retransmission or any other use by the Producer (or any assignees or licensees) of the Series, the Materials or my Likeness or any part thereof in any manner or media now known or hereafter invented.

22. The Competition Entities shall not be liable to me or my legal representative for any loss or damage to me or my property caused by or suffered during or in connection with any Competition Entities’ use of the Materials and my Likeness, including without limitation, as a result of invasion of privacy, libel, defamation or infringement of copyright.

23. I hereby agree to indemnify and hold harmless the Competition Entities from and against any and all third party claims, actions, or proceedings of any kind and from any and all damages, liabilities, losses, costs and expenses (including reasonable legal fees) relating to or arising out of any breach or alleged breach of any of the warranties, representations, or agreements that I have granted, made or entered into.

24. The Courts of shall have sole jurisdiction in relation to the terms and conditions of this release which shall be interpreted according to the laws of Ontario and the laws of Canada applicable therein, without regards to conflict of laws.

25. Any provision of this release that is invalid, illegal or unenforceable in any jurisdiction will, as to that jurisdiction, be ineffective only to the extent of such invalidity, illegality or unenforceability, without affecting in anyway the remaining provisions hereof in such jurisdiction or rendering that or any other provision of this release invalid, illegal or unenforceable in any other jurisdiction.

26. I understand and agree that no failure or delay by a Competition Entity in exercising its right, power or privilege hereunder shall operate as a waiver thereof, nor shall any single or partial exercise thereof preclude any other or further exercise thereof or the exercise of any right, power or privilege hereunder.

*PRESIDENT’S CHOICE® is a registered trade-mark of Loblaws, used with permission.

I have signed this release on the ______day of ______, 2013.

Signature Signature of of Applicant: ______Witness:______

Name of Name of Applicant: ______Witness:______(Please print first and last name) (Please print first and last name)

Date of Birth of Applicant: ______

Address of Applicant: ______

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