Grant County Rolling Stones Gem & Mineral Society Annual Membership Application & Waiver 
The Society's purpose is to exchange information, to further members' knowledge of mineralogy, geology, and the lapidary arts, to stimulate interest in the development of these studies, and to share this interest with the public.

Membership Meetings are held at 2045 Memory Lane, Silver City, NM on the second Thursday of the month and doors normally open at 5:30pm.  

Meetings alternate monthly between educational speakers with the public invited and more casual gatherings that include a potluck dinner, business meeting, rock draw and an educational or organizational activity.

Collecting Field trips are the third Saturday of the month.

We have a Lapidary Workshop that is open to members during hours scheduled monthly.

All members must complete this form annually.  

If you were not an active member during 2023, please check "new" membership and not "renewal."

**Completion of this application and payment will give you an active Rolling Stones membership through December 31, 2024.**

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Email *
How to complete this Membership Application and Liability Waiver
Please fill out the required information and then choose your membership option, indicate how you would like to receive our newsletter, consider indicating a volunteer interest, and make sure to complete the waiver.  When your Application and Waiver is complete, you will hit the "submit" button at the very bottom left of the form.

The form should autosave your entries so that you can go back later to complete the form.  It is unclear if the autosave function will survive closing your browser window or turning off your computer.  

We recommend you view the Membership Application fully and then complete it and submit it so you do not lose any data before submission.
Membership Type *
Required
Individual or Family Membership *
Required
Last Name *
First Name *
2nd Member First and Last Name for Family Membership (if applicable)
Second email address for 2nd Family member (if applicable)
Mailing Street Address *
Mailing City *
Mailing State *
Mailing Zip code *
Cell Phone Number *
Monthly Beacon Newsletter *
Required
The Grant County Rolling Stones Gem & Mineral Society
We are an all volunteer organization--all our programs, activities and events are created and managed by member-volunteers for members.  

Benefits of Membership:
  • monthly membership meetings with speakers, potlucks, rock draws and educational programs
  • monthly collecting field trips September through April
  • regular lapidary workshop hours
  • Rock & Mineral Tailgate sale in April
  • Annual Gem & Mineral Show 
  • Holiday Market in December
  • meeting local rockhounds
  • learning about southwestern geology, minerology and the lapidary arts
We are only able to offer these benefits with your continued help!  Thank you!
Rolling Stones Volunteerism---how would you like to help?
Birthday Month Recognition :  please provide us with your birthday month if you would like to be acknowledged in the monthly newsletter birthday section
INFORMED CONSENT/ASSUMPTION OF RISK/WAIVER OF LIABILITY 
We are a member of the Rocky Mountain Federation of Mineralogical Societies and they provide our organization with limited insurance that is fee based according to our number of members.  In order to receive this insurance coverage, we must require our members to complete this waiver of liability.

Please read the following information and acknowledge that you have read and understand the information by typing in your full name (first and last) below.

I understand that field trips, the lapidary workshop and other activities that I participate in with the Grant County Rolling Stones Gem & Mineral Society, a member society of the Rocky Mountain Federation of Mineralogical Societies, Inc., may include one or more of the following hazard(s) that may result in personal harm: 
  1. Unpredictable and Dangerous Environmental Conditions/Hazards including, but not limited to: snow, rain, wind, very cold and very hot temperatures, lightening, altitude, loose rocks, falling rock, avalanche, flash flood, river hazards, mud slides, mud, ice, and other slippery conditions; 
  2. Venomous and Dangerous animals and insects; 
  3. Potentially Dangerous equipment, solutions, and compounds including, but not limited to: lapidary saws, moving grinding wheels and belts, buffing wheels; cutting oil, hot wax, contaminates. such as water, dust, and fumes.
I assume the risks inherent in participating in Grant County Rolling Stones Gem & Mineral Society activities and fully release the Society and the Rocky Mountain Federation of Mineralogical Societies, Inc. from any liability for claims or lawsuit arising out of any activities. 

I have read all of the information above and understand all of it.  

I am participating in these activities of my own free choice.

PLEASE NOTE:  If a participant is under 18 years of age, the parent or legal guardian will be asked to complete and sign a form before the individual who is under 18 years of age will be allowed to participate in any Grant County Rolling Stones Gem & Mineral Society activity other than those open to the public.
Full Name (First and Last) to indicate reading and acceptance of the Waiver of Liability *
Full Name (First and Last) of 2nd Family Member to indicate reading and acceptance of the Waiver of Liability
Donations
We are a 501(c)(3) tax-exempt nonprofit corporation able to accept donations and offer tax receipts.  We are a fully volunteer run organization with modest membership fees that do not cover the costs of managing our building and running our programs and events.  Donations help us significantly to continue our member programs and public outreach offerings.
What happens after I hit the submit button?
1.  You will see a new screen that contains payment links for individual and family dues as well as a link for a donation if you would like to make one.  The links will take you to our square store where you can make an electronic credit card payment without any fees.

3.  You will receive an automated reply from google forms thanking you for your submission along with a copy of the information you provided in your membership application.  If you see any errors in your submitted information, please contact us so we can correct it.

4.  Please contact us if you have any questions about the form or payment links at grantcountyrollingstones@gmail.com.
Thank you for joining us!  We look forward to meeting you soon!
We are interested in feedback on your experience completing this form.  Please email us at grantcountyrollingstones@gmail.com with any comments.
A copy of your responses will be emailed to the address you provided.
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