Hoot Agreement Multiple Doctors Hoot 1 year Agreement Multiple Doctors in Practice Name* First Last Title* Name of Your Practice* Street AddressSuite or Office #City* State Country Postal Code* Office Phone*Cell Phone*Email Address* Consent* By ticking this box, I Agree to the Terms & Conditions belowI agree to the 1 year agreement to join Hoot Myopia Care platform (owned by Hoot Health, Inc.) with the following terms and conditions: Terms: -$399 per month for 1st doctor -$199 per month for additional doctor -1 year -$750 one time set up fee (for the practice) Benefits: -Full use of the Hoot Platform -Listing of your practice & doctors for parents (Locations + Doctors page, Specialist Page) -Your own complete profile showing you as a Hoot Myopia Care Specialist -Access to the back-end content and system dashboard -(1) 90-minute Jumpstart Training session -(1) 90-minute with Dr. Miglani, Chief Medical Officer of Hoot: Ask Me Anything session -Use of Hoot branding on your own site with a Redirect to your profile on Hoot site -(4) Hoot Boards (below) with QR Code for the exam room and training area Conditions: -Hoot Health Inc., can choose to terminate this agreement at any time without explanation or permission required -I understand and accept that portions of the site are in beta and will always be in beta with new and old features being constantly refined and so I recognize and accept issues arising from testing and beta trials -Hoot Health Inc. reserves the right to revoke authorization of use of our logo, trademark and site for any reason without permission -I understand and agree not to violate intellectual property of Hoot Health, Inc. -I will do my best to uphold the high quality standards of being an eye care professional treating patients and parents with the best clinical, ethical and caring manner. Name First Last