Houston Orienteering Club


HOC CLUB MEMBERSHIP FORM

Renewal ____________   New Member ____________  Addresses Change ____________

DUES: Individual - $10/yr ______ Family - $13/yr _____  Student - $3/yr _____

USOF Members deduct $2

Make check payable to:  Houston Orienteering Club, P.O. Box 230251 Houston, TX. 77223

Name (Last, First)                           DOB               Age        Sex

_______________________________________    ____________        ____       ____

_______________________________________    ____________        ____       ____

_______________________________________    ____________        ____       ____

_______________________________________    ____________        ____       ____

_______________________________________    ____________        ____       ____

_______________________________________    ____________        ____       ____

Address ______________________________________________________________________

City ______________________________________________________ Zip ______________

Phone (Home) ______-______-________        Phone (Work) ______-______-________

email ____________________________________________  Fax ______-______-________

WAIVER (Must be signed by all participating in club events.) I know that running and volunteering to work in club events are potentially hazardous activities. I should not enter or run in club activities unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running and volunteering to work in club events and/or runs, including high heat and/or humidity, the conditions of the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application for membership, I, for myself and anyone entitled to act on my behalf, waive and release the United States Orienteering Federation, the Houston Orienteering Club, the State of Texas, and all sponsors, their representatives and successors from all claims, demands or liabilities of any kind arising out of my participation in these club activities even though that liability may arise out of the negligence or carelessness on the part of the persons named in this waiver.
 
 
 

Signature: ________________________________________________ Date:____________
Signature required for all participants. If under 18 years of age, signature of parent or guardian is required.
 
 

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Last modified 07/05/2004