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Thank you for considering a donation to Church of the Mushroom! Upon completion and submission of this form, you will be able to do the following – as a Supporting Member:

Journals you write can have the option to be kept private – versus being available for the CotM Public Blog.
You’ll have access to the Supporting Members’ Forum – increasing community support and resource sharing.
You’ll be able to communicate with other Supporting Members in Private Messaging throughout the CotM congregation.
You may write / post journal entries and communicate using an alias.
You can request an official, physical Certificate of Membership after one month of paid Supporting Membership, as well as a CotM Medallion after a year’s worth of paid Supporting Membership. We will mail your Membership Materials to you upon your request.

This is a recurring payment. If you have any questions, contact us directly.

You will receive an Account Activation link in your email upon completing this form. You must click the link to be able to log in to your account.

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Biography

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CHURCH OF THE MUSHROOM

LIABILITY WAIVER AND RELEASE

PLEASE READ CAREFULLY BEFORE SIGNING. THIS LIABILITY WAIVER AND RELEASE (this “Release”) IS A CONTRACT BETWEEN YOU, [NAME] AND CHURCH OF THE MUSHROOM (the “Church”), A TAX-EXEMPT RELIGIOUS NONPROFIT CORPORATION. THIS DOCUMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS. THIS RELEASE COVERS ALL MEMBERSHIP INVOLVEMENT AND MEMBERSHIP ACTIVITIES OF ANY SORT (“Activities”) THAT YOU PARTICIPATE IN DURING THE TIME THAT YOU ARE A CHURCH MEMBER.

By signing this Release, you acknowledge that you wish to become a member of the Church and to join its online community. In return for being allowed to join the Church and access its online platforms, which you agree is adequate consideration for this Release, you, the undersigned person, [NAME] hereby agree as follows:

SCOPE OF MEMBERSHIP ACTIVITIES. Your membership may involve participation in online forums, webinars, message boards, direct messaging, websites, or events. It may involve sharing or reading about methods or strategies intended to reduce risk and minimize the potential harms that can occur from the use, manufacture, or transfer of controlled substances, including medical, mental health, and legal risks and harms. It may also, at your sole discretion and through the exercise of your independent judgment, involve you sharing personal information about sensitive topics, including your religious beliefs or your use, manufacture, or transfer of controlled substances. In the course of your membership, you may decide to create or share content for the purposes of learning, teaching, reducing risk or harm, connecting with others, recruiting new members, or other reasons. Such content may include journaling, writing articles, designing graphics, producing videos, or crafting social media posts; that content may be published through various communication channels such as the Church’s website, social media platforms, newsletters, and print materials. It may involve organizing, executing, and attending community and volunteer events for education, creating community, fundraising, or other purposes. Some members may volunteer to assist with the administrative or operational aspects of the Church, which may include data entry, organizing files, maintaining databases, drafting documents, coordinating or mentoring volunteers, or providing office or web support. The Church does not provide or administer controlled substances nor does it supervise or facilitate their use.
ASSUMPTION OF RISKS. Membership in the Church, and participation in Church activities, involves numerous risks. The risks associated with you sharing sensitive personal or other information with others or through the Church’s online platforms include: a person could share or otherwise use information that you disclose in ways that are embarrassing or that result in harm to you personally, reputationally, professionally, or legally. Your membership in or association with the Church, which publicly acknowledges the potential religious and spiritual benefits of psychedelics, could also result in personal, reputational, professional, or legal risks. The risks include the initiation of, or adverse impacts on, legal proceedings, including criminal, civil, domestic relations, professional licensure, eviction, foreclosure, public benefits, probation, or immigration proceedings. This list is not exhaustive. Despite efforts by the Church to monitor and moderate the content presented on its online platforms, as a community-based forum, there is also risk that content shared by other members may not be accurate, and that relying on inaccurate information may cause serious, even fatal, injury or illness. The Church does not run background checks on its members; members are advised to conduct their own independent vetting or other research on individuals before deciding what level of trust to place in them. It is not possible to compile a complete listing all the potential risks of your membership in the Church or participation in its Activities. BY SIGNING THIS FORM, YOU ACKNOWLEDGE THAT THE RISKS OF YOUR MEMBERSHIP IN THE CHURCH AND PARTICIPATION IN CHURCH ACTIVITIES HAVE BEEN EXPLAINED TO YOU, AND THAT YOU HAVE HAD AN OPPORTUNITY TO ASK QUESTIONS CONCERNING THE POTENTIAL RISKS. BY SIGNING BELOW, YOU ACKNOWLEDGE THAT YOU VOLUNTARILY, KNOWINGLY, AND FREELY ASSUME, AND TAKE FULL RESPONSIBILITY FOR, ALL RISKS, KNOWN AND UNKNOWN, RELATED TO YOUR PARTICIPATION IN CHURCH ACTIVITIES AND YOUR INTERACTIONS WITH PEOPLE YOU MEET THROUGH THE CHURCH. YOU ACKNOWLEDGE THAT ARE FULLY RESPONSIBLE FOR YOUR DECISION TO BECOME A MEMBER OF THE CHURCH AND FOR YOUR DECISIONS CONCERNING THE EXTENT AND MANNER OF YOUR PARTICIPATION IN CHURCH ACTIVITIES AND ON CHURCH PLATFORMS. YOU ARE ALSO RESPONSIBLE FOR INDEPENDENTLY VERIFYING ANY INFORMATION OBTAINED FROM OTHER MEMBERS OR AGENTS OF THE CHURCH BEFORE RELYING ON SUCH INFORMATION.
RELEASE OF LIABILITY FOR NEGLIGENT ACTS OR OMISSIONS. You hereby agree for yourself and for your heirs, relatives, representatives, estate, agents, and assigns, to release and forever discharge the Church and its directors, officers, staff, employees, volunteers, agents and representatives, (together the “Released Parties”) from liability for any negligent acts or omissions in connection with Church membership or Activities, including liability that may arise from the actions or inactions of other members. This Release does not extend to any gross negligence, wanton or willful misconduct, or reckless or intentional acts or omissions of the Released Parties.
WAIVER OF CERTAIN DAMAGES. In no event shall the Church be liable to you for any indirect, incidental, special, exemplary, consequential, or punitive damages arising out of or in connection with this Release or your participation in Church Activities, even if the Church has been advised of the possibility of such damages.

STANDARD OF CARE. The Church shall use ordinary care in conducting the Church’s affairs, including in the management of the Church’s online platforms and the moderation of online content.

SURVIVAL. The provisions of this Release shall survive the termination of this Agreement and your membership in the Church.

SUFFICIENT REVIEW. By signing this Release, you attest that you have had sufficient time to read this entire document and consult with legal counsel prior to signing.

CAPACITY AND VOLUNTARY AGREEMENT. By signing this release, you affirm that you are at least 21 years of age, of sound mind, and have the capacity to understand and enter into this contractual Release. You further attest that you are signing this Release of your own free will and volition, without any duress, undue influence, or coercion from any source.

SEVERABILITY. If any provision of this Release, or the application of a provision to any person or circumstance, is held invalid, the remainder of this Release, or the application of that provision to other persons or circumstances, must not be affected thereby.

GOVERNING LAW. This Release shall be governed by the laws of Oregon. Any legal claims, arbitrations, or lawsuits related to the participation in the Activities shall take place in Lane County, Oregon.

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CHURCH OF THE MUSHROOM

MEMBERSHIP AGREEMENT

This Membership Agreement (the “Agreement”) is entered into by and between Church of the Mushroom, an Oregon non-profit religious corporation (the “Church”), and [NAME] (the “Member”), effective as of the date of execution (the “Effective Date”).

WHEREAS, the Church is religious community that supports the responsible use of Psychedelic Substances to facilitate connection with one’s Higher Self;

WHEREAS, the Church does not distribute Psychedelic Substances to Members but provides support and other resources for Members;

WHEREAS, the Church community and activities occur primarily on the Church’s online platform; and

WHEREAS, the Member desires to join the Church and participate in its activities, including accessing the Church’s online platform;

NOW, THEREFORE, in consideration of the mutual covenants and agreements hereinafter set forth and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

DEFINITIONS

1.1. “Church” shall mean Church of the Mushroom, an Oregon religious nonprofit corporation.

1.2. “Member” shall mean an individual who meets the eligibility requirements of paragraph 2.1, has been accepted into membership by the Church, and has agreed to be bound by the terms of this Agreement.

1.3. “Member Content” shall mean any text, images, videos, audio recordings, or other materials uploaded, posted, or otherwise contributed by a Member to the Website or any Church-affiliated platform.

1.4. “Psychedelic Substances” shall mean natural or synthetic substances, including psilocybin, mescaline, ketamine, LSD, DMT, MDA, or MDMA, that occasion non-ordinary states of consciousness for religious, spiritual, and/or personal development purposes.

1.5. “Website” shall mean the Church’s online platform located at www.churchofthemushroom.org, which provides information, resources, and a community forum for Members.

MEMBERSHIP

2.1. ELIGIBILITY. Individuals who are at least 21 years of age, share the Church’s Core Tenets, and agree to abide by the terms of this Agreement are eligible to apply for membership.

2.2. MEMBERSHIP APPLICATION. Prospective members must complete and submit the Church’s membership application, which includes an agreement to the terms of this Agreement. The Church reserves the right to accept or reject any membership application in its sole discretion.

2.3. MEMBERSHIP RIGHTS. Members in good standing shall have the right to:

Participate in Church events and activities, subject to any additional terms or requirements specific to such events or activities;
Access the Members-only pages and forums of the Website;
Contribute Member Content, subject to the terms of this Agreement;
Receive communications and updates from the Church; and
Such other rights, as may be determined by the Church from time to time.

2.5. MEMBERSHIP OBLIGATIONS. The Member agrees to:

Abide by the terms of this Agreement and any other rules or policies established by the Church;
Use, possess, manufacture, or transfer Psychedelic Substances only as part of sincere religious practice and in accordance with applicable laws;
Ensure that the Member’s use of Psychedelic Substances is conducted in a safe, responsible, and intentional manner;
Respect the beliefs, practices, and rights of other Members and the Church;
Refrain from insulting, disrespectful, or degrading speech and conduct;
Treat information shared within the Church community with appropriate sensitivity;
Use the Website and participate in Church activities in a manner consistent with the Church’s mission and values; and
Promptly update the Church regarding any changes to their contact information or eligibility status.

2.6. TERMINATION OF MEMBERSHIP.

By the Church: The Church reserves the right to terminate the Member’s membership for any reason, with or without cause, upon written notice to the Member. Grounds for termination may include, but are not limited to, violation of this Agreement, engaging in illegal activities, or conduct that is harmful to the Church or its Members.
By the Member: The Member may voluntarily terminate their membership at any time by providing written notice to the Church.
Effect of Termination: Upon termination of membership, whether by the Church or the Member, all rights and privileges associated with membership shall immediately cease. The Member shall remain bound by any surviving obligations under this Agreement.

2.7. NO ILLEGAL SOURCING OF PSYCHEDELIC SUBSTANCES. The Website is intended to be a community resource for information and support in Members’ religious and spiritual growth. Use of the Website to make arrangements for the illegal buying, selling, or other sourcing or transfer of Psychedelic Substances is strictly prohibited and shall be grounds for immediate termination of membership.

COPYRIGHT AND INTELLECTUAL PROPERTY

3.1. CHURCH’S RIGHTS. By submitting the Member Content to the Website or any other Church-affiliated platform, the Member grants the Church a worldwide, non-exclusive, royalty-free, perpetual, irrevocable, and fully sublicensable license to use, reproduce, modify, adapt, publish, translate, create derivative works from, distribute, perform, and display such Member Content in any media or format, whether now known or hereafter developed, for any purpose in connection with the operation, promotion, and activities of the Church.

3.2. MEMBERSHIP REPRESENTATIONS AND WARRANTIES. The Member represents and warrants that:

They are the sole owner of the Member Content or have obtained all necessary rights, licenses, consents, and permissions to grant the license described in Section 4.1;
The Member Content does not infringe upon the intellectual property rights, privacy rights, publicity rights, or other legal rights of any third party;
The Member Content does not contain any defamatory, libelous, offensive, or otherwise unlawful material; and
The use and publication of the Member Content will not violate any applicable laws or regulations.

3.3. REMOVAL OF MEMBER CONTENT. The Church reserves the right, in its sole discretion, to remove, edit, or disable access to any Member Content that the Church believes violates this Agreement, infringes upon intellectual property rights, or may cause harm to the Church, its members, or any third party. The Church shall have no obligation to provide notice or explanation for such removal or disabling of access.

3.4. RETENTION OF RIGHTS. Except for the license granted herein, Member retains all rights, title, and interest in and to their Member Content.

DISCLAIMERS

4.1. PHYSICAL AND MENTAL HEALTH RISKS. The use of Psychedelic Substances carries numerous physical and mental health risks. The risks include nausea, headache, fatigue, anxiety, confusion, increased blood pressure, elevated heart rate, paranoia, acute or chronic perceptual changes, personality changes, changes in metaphysical beliefs, altered thought patterns, reduced inhibitions, the recovery of repressed memories and past traumatic experiences, altered perception of time and one’s surroundings, and increased vulnerability to sexual, emotional, physical, financial, or other abuse. Other risks include: short-term or prolonged psychosis; mania; dissociation; self-harm; erratic behaviors; allergic reactions; and cardiac problems. Psychedelic Substances may also have adverse interactions with prescription or other medications. Some drug interactions, including lithium, can be fatal. This list of risks is not exhaustive. The Church strongly recommends seeking medical advice from a qualified licensed professional before consuming Psychedelic Substances and as needed.

4.2. LEGAL RISKS. The religious use of Psychedelic Substances is widely misunderstood and stigmatized, including by people within the legal and criminal justice systems. The possession, use, manufacture, or transfer of Psychedelic Substances carries significant legal risks, even in the context of sincere religious practice. The risks may result in the initiation of, or adverse impacts on, legal proceedings, including civil, criminal, domestic relations, employment, professional licensure, eviction, foreclosure, public benefits, probation, or immigration proceedings. This list is not exhaustive. Because the Church does not distribute Psychedelic Substances or supervise their use, the Church strongly recommends seeking independent legal advice concerning the legal risks of the Member’s own practices.

4.3. NO MEDICAL, MENTAL HEALTH, OR LEGAL ADVICE. The Member expressly acknowledges that information obtained from the Church or through its Website or this Agreement is for general informational purposes only and does not constitute medical, mental health, or legal advice. If the Member seeks medical, mental health, or legal advice, the Member acknowledges it is their responsibility to seek such advice from a qualified licensed professional.

4.4. ACCURACY NOT GUARANTEED. Member Content is generated from Members with wide-ranging backgrounds, life experiences, training, and education. Although efforts are made to remove inaccurate and misleading information, the Church cannot warrant or guarantee that Member Content is accurate or not misleading. Members agree to utilize caution and exercise independent judgment when evaluating and before relying on Member Content.

4.5. NO CONFIDENTIALITY. Some parts of the Website are viewable to the public and others are intended to be viewed only by Members. As a community forum, information shared on Website or through the Church may not be confidential. The Church does not run background checks or engage in other vetting of its members. Members are responsible for exercising independent judgment in deciding what information to share and with whom. The Church may be required to share Member information pursuant to a court order or other legal requirement.

4.6. ILLEGAL ACTIVITY. The Church does not support or encourage any illegal activity of any kind, including without limitation the use, possession, manufacture, or transfer of Psychedelic Substances outside of sincere religious contexts.

MISCELLANEOUS PROVISIONS

5.1. INDEMNIFICATION. The Member agrees to indemnify, defend, and hold harmless the Church and its officers, agents, assigns, employees, and successors from and against any and all Claims, including reasonable attorneys’ fees and costs, arising out of or related to:

The Member’s actions or omissions in connection with their membership and participation in Church activities;
The Member’s violation of this Agreement or any applicable laws or regulations; or
The Member’s use of the Website or any Church-affiliated platforms.

5.2 NOTICE. Where this Agreement requires written notice, notice shall be given to the Member by emailing the Member at the email address on file with the Church. Written notice to the Church shall be given by emailing support@churchofthemushroom.org.

5.3. SEVERABILITY. If any provision of this Agreement is found to be unenforceable, the enforceability of all other provisions shall not be impaired. Similarly, if any portion of any provision is found to be unenforceable, the enforceability of the remainder of the provision and the other provisions of this Agreement shall not be impaired.

5.4. GOVERNING LAW. This Agreement shall be governed by the laws of the State of Oregon without giving effect to any conflict-of-law or choice-of-law provision that could result in the application of the laws of any other state.

5.5. VENUE. Any action, suit, or proceeding to interpret, enforce, or revoke this agreement shall be in Lane County, Oregon.

5.6. ARBITRATION. Any controversy arising out of the subject of this agreement shall be settled by arbitration, except that a party may file in court to compel arbitration or seek interim relief or provisional remedies pending the arbitrator’s resolution of the controversy or to enforce the arbitrator’s award. The parties shall agree on an arbitrator or, if agreement cannot be reached, each party shall choose one Oregon-based arbitrator and the two arbitrators shall choose a third person to serve as arbitrator in the proceedings. The arbitrator’s decision shall be binding on the parties.

5.7. ATTORNEY FEES. If a party brings an action to interpret, enforce, or revoke this Agreement, the prevailing party will be entitled to recover its reasonable attorney fees and all reasonable costs and expenses incurred in connection with the action, including on appeal.

5.8. AMENDMENT. This Agreement may be amended only in a writing signed by the parties.

5.9. ENTIRE AGREEMENT. This Agreement, the Membership Level Election Form, and the Liability Waiver and Release contain the entire agreement between the Church and the Member. Any prior or contemporaneous agreements or negotiations between the parties shall be superseded by this Agreement, the Membership Level Election Form, and the Liability Waiver and Release.

5.10. CAPACITY AND VOLUNTARY AGREEMENT. By signing this release, you affirm that you are at least 21 years of age, of sound mind, and have the capacity to understand and enter into this contractual Release. You further attest that you are signing this Release of your own free will and volition, without any duress, undue influence, or coercion from any source.

I HAVE READ THIS AGREEMENT IN ITS ENTIRETY. I UNDERSTAND THE TERMS AND CONDITIONS CONTAIN HEREIN AND HAVE HAD AN OPPORTUNITY TO CONSULT WITH MY OWN LEGAL COUNSEL PRIOR TO SIGNING.

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I have read and agree to the Membership Agreement

CHURCH OF THE MUSHROOM
ONLINE PRIVACY POLICY
Last Updated: May 6, 2025

This Privacy Policy explains how Church of the Mushroom (“we,” “us,” or “our”) collects, uses, and discloses personal information about you in connection with your use of our website located at www.churchofthemushroom.org. This Privacy Policy is intended to comply with the requirements of the Oregon Consumer Privacy Act (OCPA) and other privacy laws.

Personal Information We Collect
We collect the following categories of personal information about you:
Identifiers: Such as your name, email address, postal address, and online identifiers like your IP address.
Financial Information: Such as your payment card numbers, bank account numbers, and other financial account information.
Commercial Information: Such as records of products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
Demographic Information: Such as your age, gender, and nationality.
Sensitive Data: Such as your racial or ethnic origin, religious beliefs, and certain financial account information.

How We Collect Your Personal Information
We collect your personal information from the following sources:
Directly from you, such as when you provide information to us through our website or in connection with a product or service.
Indirectly from you, such as through your use of our website or mobile application, or through cookies and similar technologies.
From third parties, such as data brokers, marketing partners, and public databases.

How We Use Your Personal Information
We use your personal information for the following business or commercial purposes:
Providing and improving our products and services;
Communicating with you and responding to your inquiries;
Personalizing your experience on our website and in our products and services;
Conducting research and analysis to better understand our customers and improve our offerings;
Protecting against fraud, unauthorized transactions, claims, and other liabilities; and
Complying with applicable laws and regulations.

Sharing of Personal Information
We may share your personal information with the following categories of third parties:
Our service providers, such as payment processors and web hosting providers, to the extent necessary for them to perform services on our behalf;
Our affiliates and subsidiaries; and
Government entities, regulatory authorities, or other third parties, as required by law or to protect our rights.

Your Rights
You have the following rights with respect to your personal information:
Right to Access: You have the right to request that we disclose the personal information we have collected about you, including:
The categories of personal information collected;
The specific pieces of personal information collected;
The sources from which the personal information was collected;
The business or commercial purpose for collecting or selling the personal information; and
The categories of third parties with whom we have shared the personal information.
Right to Delete: You have the right to request that we delete personal information about you that we have collected from you, subject to certain exceptions as permitted by law.
Right to Opt-Out: You have the right to opt-out of:
The sale of your personal information;
The processing of your personal information for targeted advertising; and
The processing of your personal information for profiling in furtherance of decisions that produce legal or similarly significant effects.
Right to Limit Use of Sensitive Personal Information: You have the right to limit our use and disclosure of certain sensitive personal information, such as your financial account information and precise geolocation data, to that which is necessary to perform the services or provide the goods reasonably expected by an average consumer.
Right to Correction: You have the right to request that we correct inaccurate personal information that we maintain about you.
Right to Data Portability: You have the right to obtain a copy of your personal information in a portable and, to the extent technically feasible, readily usable format.
Non-Discrimination: We will not discriminate against you for exercising any of these rights.

How to Exercise Your Rights
To exercise any of your rights pertaining to privacy, please contact us by emailing support@churchofthemushroom.org. When submitting a request, please provide the following information:
Enough information to identify you, such as your full name, address, and email address;
Proof of your identity, such as a copy of your driver’s license or other government-issued ID; and
A description of the right you want to exercise and the information to which your request relates.

We will acknowledge receipt of your request within 10 business days and will respond to your request within 45 calendar days, as required by law. If we need additional time to respond, we will notify you and may take up to an additional 45 calendar days to respond to your request.

You may designate an authorized agent to make a request on your behalf. To do so, you must provide the authorized agent with written permission to submit requests on your behalf, and we may require you to verify your own identity directly with us.

Data Retention and Deletion
We retain your personal information for as long as necessary to fulfill the purposes for which it was collected, as described in this Privacy Policy, and to comply with our legal obligations. The criteria used to determine our retention periods include:
The length of time we have an ongoing relationship with you and provide services to you;
Whether there is a legal obligation to which we are subject (for example, certain laws require us to keep records of your transactions for a certain period of time before we can delete them); and
Whether retention is advisable in light of our legal position (such as in regard to applicable statutes of limitations, litigation, or regulatory investigations).

When you request the deletion of your personal information, we will delete your information from our records unless an exception applies. We will also direct our service providers to delete your personal information from their records. Exceptions to deletion may include:
Completing the transaction for which the personal information was collected;
Detecting security incidents or protecting against malicious, deceptive, fraudulent, or illegal activity;
Complying with legal obligations; or
Enabling solely internal uses that are reasonably aligned with your expectations based on your relationship with us.

Security of Your Personal Information
We implement and maintain reasonable security procedures and practices appropriate to the nature of the personal information we collect, use, and maintain. These measures are designed to protect your personal information from unauthorized access, disclosure, alteration, or destruction. However, no method of transmission over the Internet or electronic storage is 100% secure, so we cannot guarantee absolute security.

Changes to This Privacy Policy
We may update this Privacy Policy from time to time to reflect changes in our practices or for other operational, legal, or regulatory reasons. If we make any material changes, we will notify you by posting the updated policy on our website and updating the “Last Updated” date at the top of this Privacy Policy. We encourage you to review this Privacy Policy periodically to stay informed about our information practices.

Contact Us
If you have any questions or concerns about our privacy practices or this Privacy Policy, please contact us at:
Church of the Mushroom
2852 Willamette St., #389
Eugene, OR 97405
support@churchofthemushroom.com

By using our website or services, you acknowledge that you have read and understood this Privacy Policy and agree to our collection, use, and disclosure practices as described herein.

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