Latimer Art Club New Member Application 6-21-2022

Latimer Art Club Application/Member Information

"Carrying on a tradition of Art Excellence in Reno since 1921. "

*Indicates required information.

Active (Yes or No) *

Associate (Yes or No) *

Sponsor Name (If applying for Associate Membership)

Applicant Name (First and Last) *

Address *

Cell Phone *

E mail *

example@example.com

Home Phone *

Birthday (Month and Day) *

In an emergency, contact name *

Phone *

Primary Medium *

Secondary Medium

The Latimer Art Club is a non-profit organization dedicated to promoting the fine arts in a wide variety of mediums. We encourage interaction among artists, individual growth plus encouraging young artists through educational scholarships. Our activities include scheduled meetings, demonstrations, Plein Air paint-outs plus hosting exhibits of artwork each year. To protect the future of the Latimer Art Club, please read and sign the following waiver:

Waiver: The Latimer Art Club and anyone else associated with The Latimer Art Club organization or events, will not be held responsible for any/all known or unknown damages, injuries, losses, judgments, and/or claims from any causes suffered by any attendee, volunteer, participant, guest, or artwork entered in an event, before, during or after an event. You, individually or in a group setting, accept that you may appear in the media, without your prior approval and acknowledge that media photos and videos may be used without notifying you. Therefore, you release The Latimer Art Club, its members, and its attendees of any liability.

By signing this application and waiver, I affirm that I have read and understand this document:

Signature *

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Date *

Date

It is expressly agreed that participation in Latimer Art Club activities, including any transportation provided by a Club member, shall be undertaken at the undersigned's sole risk, and the Club shall not be liable for any injuries or any damage to the undersigned, or the property of the undersigned, or be subject to any claim, demand, injury or damages whatsoever, including, without limitations, those damages resulting from acts of active or passive negligence on the part of the Club, its officers or agents.

The undersigned releases and discharges for himself/herself and on behalf of his/her executors. administrators, heirs, assigns and successors from all such claims, demands, injuries, damages, actions, or causes of action. The Club shall not be responsible or liable for articles damaged, lost, or stolen at any club function, or for the loss or damages to any property including but not limited to automobiles and the contents thereof.

INDEMNITY and HOLD HARMLESS: The undersigned agree to indemnify and hold harmless the Latimer Art Club for any occurrences caused, in whole or in part, by the undersigned and or his/her guest at an event or activity by the Latimer Art Club. An Incident/Accident Report must be filled out and given to the Latimer Art Club President or Vice President within 30 days of occurrence of incident/accident.

SEVERABLE PROVISIONS: In the event that any part of this agreement is held to be void or unenforceable, that portion is severed, and the remainder of this agreement shall remain in force and effect.

Should I want my own member page listed on the Latimer Art Club website, I will submit a request through the website in the member section, OR provide my biography, photos of myself and artwork, and other requested information to the Membership Chair to be forwarded to the Website Developer for insertion into the website.

By signing this Indemnity Waiver, I affirm that I have read and understand this

Signature *

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Date *

Date

Print Name *