SUMMER LEAGUE FEES*


Horse Rental not included.

Payment

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Total: $

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ACKNOWLEDGMENT OF MEMBERSHIP RIGHTS

I hereby acknowledge that the use of the Club Facilities and any privilege or service incident to membership is undertaken with knowledge of risk of possible injury. I hereby accept any and all risk of injury to myself, my guests and my family sustained while using the Club Facilities or while involved in any event or activity incident to membership in 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.

Payment of Fees and Charges: I hereby agree to pay to the club the fees for the membership and league selected.

MEMBER SIGNATURE

Date: