2- Primary Member Profile

Primary Member Profile

This is your profile page. Use this page to create and update your contact information and account preferences.

Admin read-only overrides

Edit membership type (admin only)

Yes

Check only to edit membership type to non-paid Honorary or Comp.

Edit household adults (admin only)

Yes

Check to make household adult name & email fields editable.

Membership

Primary member

Membership type

Good thru year

Join year

Type

Member

First name *

Last name *

Email address *

Phone

Your home address

City

State/Province

Zip/Postal

Your home address

Lookup zip

County

If you intend on participating in our events and activities, opt in to receive our quarterly newsletter and timely email announcements.

Mailing list opt-in

Yes

Click on the button to the right if you want to create a user account on this website or update profile details after one has been created. User accounts are only required for primary members and are created when first joining.

User account?

Yes

User account

Username

Minimum of 8 characters required. Only lower case letters (a-z) and numbers (0-9) are allowed.

Password *

Create a secure password

Profile Avatar

Maximum file size: 5MB

Please upload a .jpg, .jpeg, .jpe, or .png image. By providing an image to use as your profile picture you assert that you have rights to use the image and it is not illegal, pornographic or violent in any way.

My Website

About me

Household

You can add up to 3 adults and any children living in your household to your family membership.

Do you want to add other adults (18 or over) living in your household to your membership?

Household adults?

Yes

Are you the parent or legal guardian of any children/minors to include on this membership?

Parent/legal guardian?

Yes

Include your children/minors

Children in your family you have legal authority to sign on behalf of, who may attend MMS forays or other events must be listed here. Enter the name and year born for each of your minor children (under 18). Adult children should be added as adults. Contact webmaster@minnesotamycologicalsociety.org for assistance with this.

Child first name

Child last name

Year born

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Other household adults

After you have created your profile, you can check to see if household adults have accepted your invite and resend the invite if needed.

Please check that email addresses you provided below do not have any typos and there are no duplicates.

Adult first name

Adult last name

Adult email

row row

Duplicate email notification

Duplicate email found. The Submit button at the bottom of this form will not display until this is corrected.

This application cannot be completed without a valid and unique email address for each adult named on this form.

View your Liability Waiver

Liability Release, Indemnification and Assumption of Risk

-Minnesota Mycological Society (MMS)-

Acknowledgement and Assumption of Risks

In consideration of membership in The Minnesota Mycological Society (MMS) and/or participating in any MMS-related activity, I acknowledge that MMS conducts activities in various locations under widely varying conditions in which I and my minor child(ren), if any, may encounter known and unknown dangers including, but not limited to, those arising from the terrain, weather, animals, water, traffic, bugs, bacteria, plants, fungi, distance from medical care, becoming lost, and/or the consumption of anything (including fungi), and infectious diseases including COVID-19.

I voluntarily assume responsibility for all of these risks and will act responsibility, and adhere to all directions shared by MMS and any of its volunteers and coordinators, including, but not limited to, any that may be shared verbally, in writing, electronically, or on the MMS website. I assume full responsibility for the consumption of any item or beverage, including, but not limited to, any fungi, regardless of whether it is consumed at or following any MMS activity.

Release of Liability

I UNDERSTAND THAT KNOWN AND UNKNOWN RISKS MAY ARISE INDEPENDENTLY OR MAY ARISE IN WHOLE OR IN PART FROM MY ACTIONS OR INACTIONS, THE ACTIONS OR INACTIONS OF OTHERS, AND/OR ANY TYPE OF NEGLIGENCE, AND I ASSUME ALL RISKS OF DAMAGE, LOSS, AND INJURY TO AND DEATH OF MYSELF. ON BEHALF OF MYSELF, MY CHILDREN IF ANY, AND OUR GUARDIANS, HEIRS, ASSIGNS AND ESTATES, I HEREBY FOREVER, UNCONDITIONALLY AND VOLUNTARILY WAIVE, RELEASE, RELINQUISH, DISCHARGE AND WILL HOLD HARMLESS MMS AND ITS OFFICERS, DIRECTORS, BOARD MEMBERS, VOLUNTEERS AND OTHER PERSONS INVOLVED IN PLANNING AND/OR EXECUTING ANY ACTIVITIES FROM ANY AND ALL LIABILITY. “LIABILITY” AS USED IN THE FOREGOING SENTENCE SHALL INCLUDE THAT FROM INJURY, DEATH, LOSS, THEFT OF PERSONAL PROPERTY, AND FROM ALL OTHER DIRECT, INDIRECT, CONSEQUENTIAL AND INCIDENTAL DAMAGES, ANY ECONOMIC LOSS, AND ANY RELATED ATTORNEYS’ FEES AND COSTS (INCLUDING ANY RELATED TO ENFORCE MEDIATION AND ARBITRATION PROVISIONS OF THIS AGREEMENT, AND/OR THOSE RELATED TO COLLECTION COSTS) ARISING FROM OR RELATED TO MY AND MY MINOR CHILDREN’S PARTICIPATION IN (INCLUDING TRAVEL TO AND FROM) ANY MMS-SPONSORED OR MMS-RELATED ACTIVITIES. NOTHING HEREIN WAIVES LIABILITY FOR DAMAGES ARISING FROM CONDUCT GREATER THAN ORDINARY NEGLIGENCE.

Release of Media Rights

By participating in any MMS-related activity I hereby grant on behalf of myself and my children, if any, the irrevocable right and permission to photograph and/or record any of us in connection with such activity and to use the photographs and/or recordings in any manner for any MMS-related purposes, such as on its website, in its newsletter or for promotional purposes. I further acknowledge and agree that the rights granted by this release are without compensation of any kind.

Requirement for Mediation and Arbitration

In the event of any dispute, the dispute – including any issues of substantive and procedural arbitrability, any defenses to mediation and arbitration, and all disputes regarding the enforceability, interpretation, breadth, scope and meaning of this Liability Release, Indemnification and Assumption of Risk shall be considered solely through mediation and, failing that, through binding arbitration. Any mediation and arbitration shall be held in St. Paul, Minnesota. Should any dispute be considered in a court, I hereby fully waive any rights I and my children, if any, may have to a trial by jury. The laws of the State of Minnesota shall apply to all disputes.

Binding Liability Release Updates

MMS may update this Liability Release, Indemnification and Assumption of Risk at any time by changing it on its website, which updated terms shall be binding upon me and shall apply to any activities (or omissions) occurring after the update. If I disagree with any provisions, I will contact the MMS President in writing, will no longer be a member of MMS, and will cease to participate in any future MMS activities.

Duration

I understand that this agreement extends forever into the future even if I do not renew my membership or otherwise participate in any MMS activities, and will have the full force and effect each and every time I, and any other adult(s) under my membership participate in any MMS-related activity.

Signatures

I agree that: (a) my electronic signature is the legal equivalent of my manual, hand-written signature and constitutes a binding, legal signature, (b) no certification authority or other third party verification is necessary to validate my E-signature, and (c) a copy or printout of this electronically-signed Liability Release, Indemnification and Assumption of Risk shall be legally binding. I certify that I have the legal authority to sign this waiver on behalf of my minor children listed for membership.

MMS Liability Release v3.0 2021

I have read the above Liability Release, Indemnification and Assumption of Risk and understand that I give up substantial rights by signing it and knowing this, I sign it voluntarily. I further agree that I have not relied on any statement or representation not included in this document.

I acknowledge and accept that this Liability Release, Indemnification and Assumption of Risk is intended to be as broad and inclusive as is permitted by the laws of the State of Minnesota and that if any portion thereof is held invalid, the balance shall remain in full legal force and effect.

Accept waiver and sign

You do not need to accept and re-sign your waiver at this time.

You must accept and re-sign your waiver now.

Accept terms

I accept this Liability Release, Indemnification and Assumption of Risk

Re-sign waiver

Yes

Your Waiver

e-Signature

Clear

You can re-sign your waiver if you need to for any reason, including to remove or add children to a family membership. Check the box to do so.

Visible to admins only

membership_status

Inactive Active

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Join main entry ID (added via API)

old_profile_key_field

This profile entry key added after entry created (PHP)

profile_key

This entry key added after entry created (PHP)

waiver_entry_key

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#adults

#children

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