Houston Orienteering Club


Renewal ____________   New Member ____________  AddressesChange ____________

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

USOF Members deduct $2

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

Name (Last, First)                          DOB              Age        Sex

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_______________________________________    ____________       ____       ____

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Address ______________________________________________________________________

City ______________________________________________________ Zip______________

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

email ____________________________________________  Fax ______-______-________

WAIVER (Must be signed by all participating in club events.) I knowthat running and volunteering to work in club events are potentially hazardousactivities. I should not enter or run in club activities unless I am medicallyable and properly trained. I agree to abide by any decision of a race officialrelative to my ability to safely complete the run. I assume all risks associatedwith running and volunteering to work in club events and/or runs, includinghigh heat and/or humidity, the conditions of the course, all such risksbeing known and appreciated by me. Having read this waiver and knowingthese facts, and in consideration of your acceptance of my applicationfor membership, I, for myself and anyone entitled to act on my behalf,waive and release the United States Orienteering Federation, the HoustonOrienteering Club, the State of Texas, and all sponsors, their representativesand successors from all claims, demands or liabilities of any kind arisingout of my participation in these club activities even though that liabilitymay arise out of the negligence or carelessness on the part of the personsnamed in this waiver.

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

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Last modified 07/05/2004