Palm Springs Bears
Membership Application
Firstname   One Bear per application please
Lastname
Address1
Address2
City, State, Zip
Phone
Birth Month    Birth Day
Email Address
 

New Member Login
Your temporary login and password for the site will be emailed to the above
email address when payment is confirmed. This can take 24-48 hrs.

A $25 Payment will be processed via Paypal online using credit card or Paypal.

 

Publish my name in the PSB Membership Directory

I'd offer the use of my home for a PSB event

I'm willing to host bears visiting the PS area

Add me to the volunteers list to help at some events
 
RELEASE OF LIABILITY
I understand and agree by submitting this form I will not now or at any time during my membership in Palm Springs Bears, hold Palm Springs Bears, its directors, members, or any other entity associated with Palm Springs Bears liable for any type of injury, physical or otherwise, which I sustain as a result of my involvement with Palm Springs Bears.

I understand membership fees are non-refundable. I assume total responsibility for my personal actions. 
Submitting this form confirms my age as being 21 years old or older.