Membership

If you are not paying online, please print this form, complete and return signed application together with payment to: Diane Krish 3479 Snow Trail, Snellville, GA 30039 Email: krishdiane01@gmail.com

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Member Information

Member Name *

First

Last

Check one of the following:

• I am joining as a new member.
• I am renewing membership.

Choose from one of the dropdowns.Friend of GCMGAMaster Gardener

If Master Gardener, please list Class Year.

Primary Phone Number: *

Check one of the following:

• Check here if cell # is your primary phone.
• Check here if your phone is a landline.

Email *

Address *

Address Line 1

City

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Zip Code

Authorizations

Liability Waiver *

• I realize that when engaged in Gwinnett County Master Gardeners Association (GCMGA) activities, that serious physical injury and personal property damage may accidentally occur. I further realize that there is always the possibility of having an allergic reaction to or being poisoned by handling or ingesting plants and that adverse reactions may result in mild or fatal illness. Knowing the risks, I agree to assume the risks and agree to release, hold harmless, and to indemnify the GCMGA 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 and all GCMGA activity, field trip, excursions, meeting or dining, sponsored by the Association.

Confirmation *

• Confirm Membership – $20.00

Total

$0.00

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