Your Name:                                        NSS #: Primary Grotto:
Address:                                  
City:                                     State:                                     Zip Code:                                  
Phone:                                   (Please use this format: XXX-XXX-XXXX)
E-Mail Address: NO YAHOO OR AOL E-MAIL ACCOUNTS. Due to their TOS and security issues, we cannot process membership with AOL or Yahoo e-mail addresses.
Marital Status:    Date of Birth:   Membership Type: Full Regular $10.00  


Please Select your Area(s) of Interest (Not Required)
Horizontal  Vertical  Survey Search (Find New Caves) Data Research
Rescue  Databasing  Conservation Other: Specify:

Desired Website Username: (Minimum of 5 characters required)
Desired Website Password:                 (Minimum of 5 characters required - Combination of Numbers and Letters suggested).

Please Read the following Liability Agreement. If you do NOT agree with the liability agreement, then please cancel your membership sign-up by clicking HERE.

Liability Agreement:
For and in consideration of permitting above named applicants to participate and engage in CAVE EXPLORATION or related activities, beginning on date of application, and forever thereafter, the above named applicants voluntarily releases, discharges, waives, and relinquishes any and all actions or causes of action for personal injury, property damage, or wrongful death occurring to him/her self as a result of (or receiving instructions in) Cave Exploring or related activities, or said activities incidental hereto, wherever or however the same may occur, and for whatever period said activity or instructions may continue, and the above named applicants does for him/her self, his/her heirs, executors, administrators, or assigns hereby release, waive, discharge and relinquish any action or cases of action aforesaid which may hereafter arise for him/her self, and for his/her estate, and agrees that under no circumstances that he / she, or his/her heirs, executors, administrators or assigns prosecute, or in any way whatsoever present any claim for personal injury, property damage, or wrongful death against the Western Indiana Grotto, NSS, or any of it’s officers, agents, servants, members or employee’s for any of said actions or causes of action whether the same shall arise from the negligence of any of said persons or Otherwise.
II IS THE INTENTION OF ABOVE NAMED APPLICANTS, BY THIS AGREEMENT, TO EXEMPT AND RELIEVE THE WESTERN INDIANA GROTTO, NSS FROM ANY LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH CAUSED BY NEGLIGENCE. The above named applicants, for him / her self, his/her heirs, executors, administrators or assigns agrees that in the event that any claim for personal injury, property damage, or wrongful death shall be prosecuted against the Western Indiana Grotto, NSS, he / she shall indemnify and save harmless the same Western Indiana Grotto, NSS, from any and all claims or causes of action by whomever or wherever made or presented for personal injury, property damage or wrongful death.
IT IS ALSO UNDERSTOOD that if said claim shall arise, that all legal fee’s, claims, or fines presented as a result of prosecution aforementioned against the Western Indiana Grotto, NSS, including that of legal representation, shall be paid for in full by the above named applicants.
By completing and returning this application, the above named applicants agrees that he / she has read the forgoing Liability agreement, and is fully aware of the dangers incidental to Cave Exploration or related activities, and is fully aware of the consequences of this agreement. This agreement is AUTOMATICALLY EXECUTED by the above named applicants upon presenting this application to any Western Indiana Grotto, NSS Executive (Including submission to website)..
NOTE:Person(s) under age 18 must have parent’s permission to join. If applicants under age 18 presents application to any WIG executive, then parents permission has been granted, and that parent(s) agree to the Liability Agreement as well.

  CHOOSE YES , I / We have read the foregoing Liability agreement, and agree to be bound by the
              terms of this liability agreement. I commit to this agreement by selecting YES,
              and then selecting the submit button below. Parents of minors listed also agree to this on the minors behalf.
Failure to agree to Liability Agreement will prevent you from receiving Specific Cave Information, and will
disqualify you from permission to attend trips / outings.

PLEASE BE SURE TO READ THE TERMS AND CONDITIONS OF MEMBERSHIP