Medicine Collective Private Membership Liability Waiver

Please fill out the following form.

PLEASE READ CAREFULLY

By signing this agreement, you are acknowledging and accepting the terms and conditions of membership and releasing the Montana Medicine Collective PMA, its members, officers, and affiliates from liability regarding the use of any products obtained through this private membership association.

1. Private Membership Declaration

I hereby voluntarily apply for membership in the Montana Medicine Collective, a Private Membership Association (PMA). I understand that this association operates outside the jurisdiction of public law, under the protections of the U.S. Constitution and common law, and is not open to the public.

2. Legal Entity Disclaimer

I acknowledge that:

3. Product Use Agreement

I acknowledge that the products provided by the Montana Medicine Collective PMA — including, but not limited to, functional mushrooms, herbal preparations, and colloidal or mineral-based products — are intended for use by informed members only. These products have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease.

4. Acknowledgement of Risk

I understand and accept that:

• Functional mushrooms and colloidal minerals may produce varied effects depending on individual biochemistry.

• I am solely responsible for researching and determining the appropriateness of these products for myself.

• I take full responsibility for any adverse reactions or outcomes from their use or misuse or reactions with any other supplements or pharmaceuticals I choose to take.

5. Medical Disclaimer

I confirm that:

• I am not relying on the Montana Medicine Collective or its members for medical advice.

• I will consult a licensed healthcare provider for any health concerns or before combining these products with medications or treatments.

• I understand these products are not a substitute for professional medical care.

6. Waiver and Release of Liability

I hereby release, waive, and hold harmless the Montana Medicine Collective PMA, its founders, members, agents, employees, and volunteers from any and all liability, claims, or demands arising from the use, misuse, or effects of any products provided through this PMA.

7. Electronic Signature & Agreement

By signing below, I affirm that I have read, understood, and voluntarily agree to the terms of this waiver and PMA membership. This signature constitutes a legally binding agreement.