Name

Last

First


Riding Instructor

Name

Contact Information

Phone

Email


Address

Street

City, State, Zip


(Please make sure to include your preferred email address for all HPC Evites, Newsletters and other club correspondence). Preferred email (if different from above):

Start Date of Membership


Pricing

Riding Membership = $1,894.38Family Riding Membership = $2,435.63Boarding Membership = $2,922.75

Payment

Please Make Note of Amount Owed Before Proceeding to Payment Page


Payment of Fees and Charges

I hereby agree to pay to the club the fees for the membership selected. Boarding Memberships are subject to monthly stall fees and the current amount is described on a separate Schedule of Fees and Charges, and is subject to change. Lessons are separate and are not included in Riding Membership.

We accept checks, Visa, Mastercard, and Discover


Authorization to pay Monthly

By initialing here, I agree to pay my membership monthly and authorize Houston Polo Club to charge my credit card number.

For questions, please contact the business office at 713.997.8571.

Use your finger/stylus (mobile) or mouse (desktop) to initial.

Renewing Membership

If you are renewing Membership please indicate by initialing here.

For questions, please contact the business office at 713.997.8571.

Use your finger/stylus (mobile) or mouse (desktop) to initial.


ACKNOWLEDGMENT OF NON-MEMBER/MEMBERSHIP RIGHTS

I hereby acknowledge that the use of the Club Facilities and any privilege or service incident is undertaken with knowledge of risk of possible injury. I hereby accept any and all risk of injury to myself, my guests sustained while using the Club Facilities or while involved in any event or activity incident at the Club. I hereby waive against Houston Polo Club, its affiliates, successors or assigns, and their respective partners, directors, officers, shareholders, employees, agents and representatives, and advisory members of the Board of Directors of the Club (collectively, the "Club Parties"), and shall indemnify, defend and hold the Club Parties harmless from and against, all losses, costs, expenses (including reasonable legal fees and expenses), claims, injuries, damages or liabilities of any kind or nature (collectively, "Damages") directly or indirectly arising out of, caused by, in connection with, related to, or resulting from (in whole or in part) any use of the Club Facilities by me or my spouse, children, guests, invitees, or anyone else on or using the Club Facilities at my invitation, or at the invitation of my spouse or any of my children, or, if I am an entity, my affiliates, and their respective partners, members, managers, directors, officers, shareholders, employees, agents and representatives. THE FOREGOING INDEMNITY OBLIGATION SHALL APPLY TO DAMAGES EVEN IF SUCH DAMAGES ARE CAUSED IN WHOLE OR IN PART BY THE SOLE, JOINT OR CONCURRENT ORDINARY NEGLIGENCE, FAULT OR STRICT LIABILITY OF ANY CLUB PARTY, WHETHER OR NOT SUCH SOLE OR CONCURRENT ORDINARY NEGLIGENCE, FAULT, OR STRICT LIABILITY IS ACTIVE OR PASSIVE.

IN THE CASE A MATCH IS STOPPED IN PLAY DUE TO WEATHER OR A MATCH IS CANCELLED DUE TO WEATHER, NO REFUNDS WILL BE GIVEN. WE DO OUR BEST TO OFFER WEEKDAY MATCHES TO MAKE UP FOR ANY POLO MATCHES THAT MAY BE CANCELLED DUE TO WEATHER. SCHEDULES AND WEATHER PERMITTING.


MEMBERSHIP AGREEMENT

The membership acquired hereunder shall be issued in the following name of:

ApplicantFamilyCompany/Entity

Name:


Member Signature

Use your finger/stylus (mobile) or mouse (desktop) to sign below.