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.