Chico Chapter · Est. 1950 A volunteer guild of the lapidary arts
M-01
Membership application
The Members’ Circle.
Fill this in by hand and give it to any volunteer at a meeting. Dues run one year from the day you sign.
I
Choose a membership
Individual — $40
One year, rolling One adult 18+
Family — $50
One year, rolling 2 adults + up to 4 children under 18
II
Who is joining
Print clearly
The applicant
Full name
Email
Phone
Mailing address
City
State
ZIP
The second adult
family memberships only
Full name
Email
Phone
Children under eighteen
up to four — so a steward knows who is at the bench
Name
Birth year
Name
Birth year
Name
Birth year
Name
Birth year
III
What pulls you in
Mark any
Rockhounding & field trips
Cabbing — cutting & polishing
Faceting
Silversmithing & metalwork
Wire wrapping & beading
Fossils
Mineral collecting & ID
Displays & competition
Education & youth
IV
One document, three promises
Full text posted at the shop
Liability release & disclaimer. I accept the risks of lapidary work, shop machinery, and field trips; I will use no machine until a steward has trained me on it; and I release the Club and its volunteers from claims arising from participation. Required.
Photo release. Photographs taken at club events may appear in the newsletter, the website, and show displays. Optional — leave blank to decline; membership is unaffected.
Code of conduct. I will treat people, tools, and the land with respect, and collect lawfully and with permission. Field-trip site rules are published separately with the Code. Required.
V
Sign for yourself
Adult one — signature
Adult two — signature
Date
I am the parent or legal guardian of the minors listed, and I sign on their behalf.
Parent / guardian signature
◆ For club use — reconciliation
Complete at the moment of payment
PaymentCashCardCheckCheck #
Amount received $
POS receipt #
Initials
Date received
Entered by / date
◆ Form M-01 · The Members’ Circle · paradisegemmineral.com
Paradise Gem & Mineral Club
Chico Chapter · Est. 1950 Instruction at the bench since the first shop
C-01
Class registration
A seat at the bench.
Classes are open to members and the public alike. One form holds one seat; bring it to the shop or hand it to the instructor.
I
The class
Class name
Date & time
Instructor
$
Class price
II
Who is coming
One seat per form
Full name
Email
Phone
Member number, if a member
MemberGuestUnder 18
III
One document, three promises
Identical to M-01
Liability release & disclaimer. I accept the risks of lapidary work and shop machinery; I will use no machine until a steward has trained me on it; and I release the Club and its volunteers from claims arising from participation. Required.
Photo release. Photographs taken during this class may appear in the newsletter, the website, and show displays. Optional — leave blank to decline.
Code of conduct. I will treat people, tools, and the land with respect, and follow the direction of the instructor and shop steward. Required.
IV
Sign for yourself
Attendee — signature
Parent / guardian, if attendee is under 18
Date
◆ For club use — reconciliation
Complete at the moment of payment
PaymentCashCardCheckCheck #
Amount received $
POS receipt #
Initials
Date received
Entered by / date
◆ Form C-01 · A seat at the bench · paradisegemmineral.com