Texas Master Naturalist Dues & Insurance

TMN volunteers are covered by $1 million personal liability insurance through Texas Parks and Wildlife only if the Chapter has on file a current signed release form. Please print, sign, date, and return this form along with your check for dues—$15 per year or $25 per couple—payable to “Mid-Coast Chapter, TMN” to:

Frankie Fox
Treasurer, MCTMN
P.O. Box 1134
Fulton, TX 78358

Liability Agreement

In consideration of being accepted as a participant in the Texas Master Naturalist volunteer program (Mid-Coast Chapter) I hereby release, discharge, and agree to hold harmless the program and its sponsoring state agencies, their agents, employees, officers, and successors from and against the program and sponsoring state agencies, their successors, employees, or officers for all personal injuries (including death), known and unknown, or damage to property caused by or arising out of activities performed under the Texas Master Naturalist Program.


Member Signature		Date

Member Name (Please Print)


Second Member (Spouse) Signature		Date

Second Member Name (Please Print)

Change of Contact Information

Please complete this section if any information has changed in the last year.

Name
Address
Primary Phone		2nd/3rd Phones if wanted on Chapter roster
E-Mail Address
Changed Interests; New Skills
Training you would like to receive
Group Projects you would like to see

For complete information on liability coverage, contact the Mid-Coast Chapter secretary.