GREEN MAP SYSTEM
FORMAL RELEASE

In further consideration for the rights granted by GREEN MAP SYSTEM, INC. (GMS) in the making of a map, I have: (i) created or contributed to a map and/or related supporting materials; (ii) participated in an interview giving an oral or written report of my experiences; (iii) appeared in pictures (collectively referred to as the "Material") regarding the Green Map project.

I irrevocably grant GMS and its representatives, affiliates, licensees and assigns the absolute right and permission to use in any manner or form the Material and my name in conjunction therewith for any lawful purpose.

I further waive any right to inspect or approve the use of the Material and understand that GMS shall not be obligated in any way to compensate me or make any payment to me for the uses described herein.

I warrant that: I have full and complete power to grant the rights herein granted; and, that all text in the material is true and accurate and reflects my personal observations and opinions; and, that I hold GMS and its representatives, affiliates, licensees and assigns harmless from any and all claims that may arise out of the use of the Material.

I am over twenty-one (21) years of age, and have read the above release prior to signing it and I am fully familiar with and understand the contents thereof.

If you are registering online you do not need to sign here. Instead just tick the box on the online form to say that you agree.

Name (Print): __________________________________________
Name (Signature): _______________________________________
Address: _____________________________________
_____________________________________
_____________________________________

If under twenty-one (21) years of age the signature of a parent or guardian must be included below.

I represent that I am a parent (guardian) of the minor who has signed the above release and I agree that the said minor and I will be bound thereby.

Parent/Guardian (Print) ___________________________________

Parent/Guardian (Signature): ________________________________________