Application To
Last Name ________________________ First _____________ Spouse ________________________
Address __________________________City _______________State ________ Zip ______________
Phone ___________________________ E-Mai l__________________________________________
Prospecting Vehicle Year________ Make _____________ Lic.# _______________ State __________
I understand that as a member of the Gold Searchers of Southern Nevada Inc., I can run for office and participate in the voting on all major policies and officer elections. I will also be able to attend all meetings and use the Club claims, subject to the Club By-Laws. I can also use Club equipment by appointment and check books and videos out of our extensive library.
HOLD HARMLESS AGREEMENT
I / we, the undersigned, (hereafter referred to as participant) assume all risk and/or hazards associated with participant’s involvement in the Gold Searchers of Southern Nevada Inc., a prospecting Club. Participant agrees to indemnify and hold harmless all Club Officers, Sponsors and/or other third, fourth, etc. Parties involved in Club activities. Participant realizes that metal detecting, gold prospecting and associated activities can be dangerous. The terrain can be hazardous, and there may be wild and domestic animals and snakes present. Some locations may have open shafts, pits and tunnels. Participants assume all responsibility by signing below.
SIGNATURE ______________________________________________
CLUBS ONLY FUNCTION IF MEMBERS VOLUNTEER
I/we will volunteer to assist in the areas checked. Please
check at least one area.
COMMITTEES
Outings [ ] Food [ ] Claims [ ] Education/Training [ ] Newsletter [ ]
Membership [ ] Website [ ] Ticket Sales [ ] Librarian [ ]
ELECTED OFFICES
President [ ] Vice-President [ ] Secretary [ ] Treasure [ ]
DUES ARE PAYABLE ON THE FIRST OF THE MONTH ON YOUR ANNIVERSARY
DATE
New members $45.00 Renewals $30.00
Check #__________Cash________ By_________
Receipt # __________ From_____________ To______________
Card # ________ Card Sent ______________ Claims book sent ______________