Trek Houston

Welcome

Fort Bend Express

VanPool/CarPool

TREKHome

Welcome

Fort Bend Express

»	Greenway Plaza

»	Uptown/Galleria

VanPool/CarPool

»	VanPool Bulletin Board

TREKHome

»

TREKHome Registration Form

»

METRO

Partners

»	Board of Directors

Contact Us

To be eligible to use this benefit you must either ride the TREKEXPRESS Galleria or Greenway Plaza routes or you must be employed by one of TREK’s Partner companies.

Call TREK for more information.

Your Information

*

First Name:

*

Last Name:

*

Email Address:

Yes, I would like to receive email updates.

Home Phone Number:

Work Phone Number:

Home Address

*	Address

*	City

*	State

*	Zip Code

Employer Information

	Employer Name

Employer Address

*	Address

*	City

*	State

*	Zip Code

Estimated Distance To/From Work

What is the estimated distance from your home/Park & Ride to the workplace?

	In miles

Do you ride:

	TREKEXPRESS		METRO

	Woodlands Express		Vanpool

	Carpool		Walk

	Bike

Informed Consent, Release & Waiver of Liability

I, the undersigned, recognize that participation in the TREKHOME Program is strictly voluntary and that such participation does not in any manner imply an employment or agency relationship with TREK, a non-profit organization.

I, the undersigned, for and in consideration of the request and permission to participate in the TREKHOME Program, hereby assume full responsibility for all risk and injury or loss, including death, which may result from my participation in this program and hereby agree to hold harmless release, waive, forever discharge and covenant not to sue or bring claim against TREK, its officers, directors and /or employees from any and all claims and demands whatsoever which the undersigned or any third party and the representatives thereof have or may have against the said organizations, officers, director, or employee, by reason of any accidents, illness, injury or death, or damage to or loss or destruction of any property arising or resulting directly or indirectly from my participation in the TREKHOME Program and occurring during the said participation;, or any time subsequent there to, whether or not such loss, inquiry or death is caused or alleged to be caused in whole or in part by the negligent acts or omissions of the organization, its officers, directors or employees. The terms of the release shall serve as a release and assumption of risks for my heirs, executors, administrators and for all of my family members.

I, the undersigned, understand the guidelines of the TREKHOME Program and, on behalf of my heirs, successors or assigns, hereby release and hold harmless TREK from any liability, claims and demands of any kind whatsoever including but not limited to any liability for personal injury, loss, theft, or damage to my personal property, loss of income, consequential damages resulting in delays or absence of transportation or termination of the programs. Furthermore, I understand that incorrect use of this service may result in restriction from using the service again.

I agree

I do not agree

Electronic Signature

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.

	Participant's Company:

	Participant's Signature: