Member Application / Registration
Western Indiana GrottoTHIS IS NOT AN AUTOMATED PROCESS... Applications will be reviewed and processed within 48 hours after submission.
(Please use this format: XXX-XXX-XXXX)
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.
Date of Birth: Membership Type:
Full Regular $10.00
Associate Regular $10.00
Full Family $5.00
Associate General $2.50
If Signing up as a FAMILY MEMBER: Enter name of Full or Associate Member who
<------Failure to complete for Family Membership will void your application!
Please Select your Area(s) of Interest (Not
(Find New Caves)
Desired Website Username:
(Minimum of 5 characters required)
Desired Website Password:
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.
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
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.
, 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
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