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Sixth Annual GARY LINCOFF |
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Saturday, September 15, 2007 SPECIAL REGISTRATION FORM FOR CLUB MEMBERS ONLY |
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Featured
speaker will be Gary Lincoff, author of the Audubon Society Field
Guide to North American Mushrooms, and past president of the North American Mycological
Association (NAMA).
Special guest mycologists Renee Lebeuf, Bill Russell, David Miller
A host of other mycologists will be on hand to help you learn mushrooms, including: Dr. Fred Schrock, John Plischke III, Robert Boice, Kim Plischke, and La Monte Yarroll.
Fungi — Fun — Friends
Cost is $25 each for members pre-registered and paid by July 15, 2007; $40 each for non-members pre-registered and paid by September 1, 2007; or $50 for anybody registering after September 1, 2007 (non-refundable). Children 11 & under free. Registration is limited.
Contact:Glenn Carr 412-369-0495 browncarrs@verizon.net
Signing and dating the release is an absolute requirement for attendance.
Make check payable to: Western PA Mushroom Club, 1848 Fairhill Road, Allison Park, PA 15101
Foray Registration Form
Name 1 __________________________________________________________________
Name 2 __________________________________________________________________
Name 3 __________________________________________________________________
Address __________________________________________________________________
City/State/Zip ____________________________________________________________
Phone _______________________________ E-mail ______________________________
RELEASE
Knowing the risks, I (we) agree to assume the risks, and agree to release, hold harmless, and to indemnify the Western Pennsylvania Mushroom Club, and any officer or member thereof, from any and all legal responsibility for injuries or accidents incurred by myself or my family during or as a result of any mushroom identification, field trip, excursion, meeting or dining, sponsored by the club.
Signature ______________________________________ Date: _____________________
Signature ______________________________________ Date: _____________________
Signature ______________________________________ Date: _____________________