CMS/RMNP Mycoblitz Registration Form
Everyone (except children) participating in the Mycoblitz must complete a separate registration.
Last Name *
First Name *
Address *
City *
State *
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip *
Telephone Number
Email Address *
Children
Include the names and ages of any children accompanying this adult registrant.
What day(s) will you participate in the Mycoblitz? *
Saturday, August 23rd
Sunday, August 24th
Both Saturday & Sunday, August 23-24
Will you require a campsite at RMNP? *
All campers should be participating in the Mycoblitz. If you want to share a campsite with someone, give the name of the person(s) in the Comments box at the end of the registration form.
Yes
No
If you require a campsite, what nights will you be camping?
Friday night only
Saturday night only
Both Friday & Saturday nights
Experience *
Pot hunter = I can identify some common edibles. Intermediate = I can identify a small range of fungi including some common edibles. Advanced = I can confidently identify a wide range of fungi. Expert = I commonly use a microscope to aid in identification.
None
Pot hunter
Intermediate
Advanced
Expert
What is your myco-club affiliation? *
None
Colorado Mycological Society
New Mexico Mycological Society
Other
If you selected Other in the above question, what is your myco-club affiliation?
Please check off any jobs you would be willing to help out with at the Mycoblitz. *
You may check more than one box. Job discriptions are available on the CMS web site.
Onsite registration
Identification
Lead a hunting group
Carpool driver
Sorter
Identification room helper
Recorder
Photographer
Collector
By participating in this Mycoblitz event, a scientific undertaking, and agreeing to the terms of this Release, I state that I am a current member of the Colorado Mycological Society, or a guest of CMS and Rocky Mountain National Park for this event, and that I understand the risks associated with hunting wild mushrooms, including but not limited to: getting lost in the woods, or possibly suffering life and limb threatening injuries as a result of exposure or slipping, stumbling, etc. I also am aware that cooking or eating wild mushrooms may be hazardous to my health, including sickness, permanent injury/impaired senses, even death. Knowing the foregoing and assuming all risks, I especially release and waive any claims that I may have or may have had and agree to hold harmless the Denver Botanic Gardens, the Colorado Mycological Society, its members, officers and any other persons involved with CMS, Rocky Mountain National Park, The US forest Service, the US Department of Agriculture or any other United States department or any of the aforementioned employees, contractors or agents, from liability which I might assert because of this event or the results of this event. I willingly assume all the above risks. *
I accept
I do not accept
I understand that it is a regulation of Rocky Mountain National Park that no flora or fauna, including mushrooms, may be taken from the park. I agree that I will not remove any mushrooms from Rocky Mountain National Park that I collect as part of this event. *
I accept
I do not accept
I understand that pets are not permitted at the Mycoblitz. *
I accept
I do not accept
Comments
Include here the name or names of anyone you wish to share a campsite with.