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Membership
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Membership Application - Calvert
Marine Museum Fossil Club
You may print this page, or click
here for Word Membership Document
Name(s)
________________________________________________________________________
Address
________________________________________________________________________
City, State, Zip
Phone(s) (Include Area Code)
_______________________
_______________________
E-Mail Address
________________________________________________________________________
If you would like to receive the club's
newsletter via email check here: _____
Select ONE type of membership
(Enclose a check or money order for the indicated amount.) |
Individual
(New) $10.00 |
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| Individual (Renewal) $10.00 |
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Please indicate the expiration date of
your CMM membership. ____/_____/______
If you are not a current member of the CMM, please complete
a CMM membership application and send under separate cover. Your CMMFC
membership will not be effective until receipt of CMM membership dues is
confirmed and your signature is attached at the bottom of the form
accepting the conditions of the CMMFC Liability Statement.
Children of CMMFC members who are dependent minors and living at home may
accompany parents on any trip EXCEPT for PCS-Lee Creek or where otherwise
noted. Memberships are effective from January through December of the year
(or portion of the year) of the date of application. For example, persons
joining in August will need to renew their membership 5 months later in
January. Membership in the CMMFC and CMM do not expire concurrently, but
if the CMM membership expires before the expiration date of the CMMFC the
club membership shall be considered forfeit. All dues must be current for
both the CMM & CMMFC for a person to attend any CMMFC trip.
CMMFC Liability Statement
The Undersigned hereby
acknowledges his/her understanding that fossil collecting is an inherently
physically demanding and dangerous activity, which can result in serious
bodily injury or death, and/or property damage and hereby confirms his/her
voluntary assumption of the risk of such injury, death or damage.
The Undersigned, in return for the privilege of attending field trips
Related to the collection of and/or study of fossils, or any other event
or activity conducted or hosted by the Calvert Marine Museum (CMM) or the
Calvert Marine Museum Fossil Club, hereinafter collectively and
individually referred to as "CMMFC Events", hereby releases the
CMMFC, CMMFC Board members and officers, CMMFC Event leaders or organizers
and hosts, landowners and mine or quarry operators from any and all
liability claims resulting from injury to or death of the undersigned or
his/her minor children or damage to his/her property resulting from any
cause whatsoever related to participation in CMMFC Events.
The Undersigned agrees to comply with any and all CMMFC By-Laws and CMMFC
Code of Ethics, and further by any rules and restrictions which may be
communicated to the undersigned by the CMMFC Event leader and/or landowner
and mine or quarry operator and acknowledges that failure to comply will
result in immediate expulsion from the premises and/or expulsion from the
Club.
The Undersigned acknowledges that this release covers all CMMFC Events and
will remain in effect at all times unless or until it is revoked by
written notice to the current President of the CMMFC and receipt of such
revocation is acknowledged.
The Undersigned further attests to his/her intent to be legally bound by
affixing his /her signature to this release.
Name Signature Date
_____________________________________________________________________
Name Signature Date
_____________________________________________________________________
Mail To:
Calvert Marine Museum Fossil Club, P.O. BOX 97,
Solomons, MD 20688 |