I AM AWARE THAT ROCK CLIMBING, ICE CLIMBING, MOUNTAINEERING AND TRAVEL IN AND AROUND MOUNTAINOUS TERRAIN ARE DANGEROUS ACTIVITIES. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED AND I HEREBY AGREE TO ACCEPT ANY AND ALL RISK OF INJURY AND DEATH.

I agree to abide by all rules and regulations of the Texas Mountaineers. I also agree to follow all instructions from outing leaders on all official Texas Mountaineer outings. I have executed the attached Release of Liability, Waiver and Indemnity Agreement for Participation in Inherently Dangerous Activities and have executed the two attached Medical Consent Forms.

I further certify that I am at least 18 years of age.

Signature ______________________________________ Date ______________________

Where did you hear about the Texas Mountaineers?

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What interests you about the club?

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