First Name     

Last Name     

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Spouse            For Family

Children           For Family Memberships

In consideration of membership in the Greater Houston Off Road Biking Association (hereinafter referred to as GHORBA), I for myself and my minor child/children, heirs, executors, administrators, and assigns, hereby agree to forever release and discharge any and all rights, demands, claims and causes of suit or action, known or unknown, whether arising now or in the future, that I may have against GHORBA, any other participating sponsors, its officers, directors, employees, representatives, agents and volunteers for any and all injuries, including death, and any property damage in any manner arising or resulting from my participation of my child's/children's participation in any activity conducted by or in conjunction with GHORBA.  I attest and verify that I have full knowledge of the risks involved in mountain bike riding and in all GHORBA activities, that I assume those risks, that I will, without limitation, assume and pay any and all medical and emergency expenses incurred on my or my child's/children's behalf in the event of an accident, injury, or other incapacity while participating in any GHORBA activity, regardless of whether I have authorized such expenses.  I further agree that in the event I require medical surgical treatment while under the supervision of GHORBA or any of it's representatives, such GHORBA representatives may authorize medical treatment for myself.  I have read and agree with all the terms of this waiver. 

By Checking this box I agree to the above terms. Failure to check box voids this agreement.