Join The Club Join The Club You can join the club or renew your membership at any of our monthly meetings. or You can print out an application and mail it to Treasurer Jared Delaney with your check. or You can fill out the following application on line and pay using Pay Pal. Members are entitled to: The WPMC newsletter • Nine monthly WPMC meetings • Free participation in WPMC walks • Fee discount for WPMC forays Please read carefully the agreement below. Although the agreement below specifies you must sign it, you agree that by clicking on the "Agree" button below, you have read the agreement and agree to be bound by its terms, and that such acceptance will be the equivalent of your signature on this agreement. You also agree that you are authorized to execute this agreement for the legal entity on whose behalf you are accepting the terms of this agreement.This Release and Indemnification Agreement (the "Agreement") is entered into by and between the Western Pennsylvania Mushroom Club, as it is presently organized and may be later structured ("WPMC") and the undersigned Member (the "Member") on this day: 11/06/2024 WHEREAS, WPMC is a non-profit educational organization that has as its principal purpose the sharing of mushroom-related information among its members; and WHEREAS, all officers, directors, identifiers and members serve WPMC in a voluntary capacity and receive no remuneration for their services; and WHEREAS, in cases where WPMC charges a fee for its forays, walks, lectures and other events (collectively "WPMC Events"), it is doing so only to cover its direct costs and does not operate in a for-profit capacity; and WHEREAS, the Member understands that there is inherent and unavoidable risk in outdoor activities relating to hunting and consuming wild mushrooms. These risks include but are not limited to the dangers of hiking in difficult terrain, the possibility of misidentifying a wild mushroom, and the possible allergic or toxic reaction that some individuals may have to otherwise edible mushrooms. NOW THEREFORE, the Member hereby agrees to the following: The Member assumes all risks associated with WPMC Events. The Member expressly acknowledges that it is the Member's sole responsibility to hike safely and to determine whether a wild mushroom may be consumed. The Member releases, holds harmless, and indemnifies the WPMC, its officers, directors, identifiers, and representatives from any and all liability relating to any injury or illness incurred by the Member or the Member's family members as a result of participation in a WPMC Event. This Agreement shall be governed by the laws of the Commonwealth of Pennsylvania. If any portion of the Agreement is declared for any reason to be invalid or unenforceable, such invalidity shall not affect any other provision of the Agreement. This Agreement shall apply to all WPMC events.Release and Indemnification Agreement* Disagree Agree Membership type* New Renewing Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Alternative PhoneEmail* Alternative Email Interests Foraging Identification Cooking Cultivation Photography Art and craft DNA barcoding Microscopy Newsletter*ElectronicHardcopyThere is a $10.00 surcharge for hardcopy newsletters to dues amount.Annual Dues* Individual $15.00 Family $20.00 Full-time Student $10.00 Total $0.00 Name family member 2 First Last Name family member 3 First Last Name family member 4 First Last Name family member 5 First Last Δ
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