REGISTRATION FORM - BIG-HUMP 2005 GREENDRESS RUN - 3/12/05
Hash name________________________________
Nerd name ________________________________
Resident
Hash______________________________
Address___________________________________
City ______________________________________
State
_________________Zip_________________
E-mail ____________________________________
_________ I want it all! ($55.00) What a deal!!!
_________ I’m cheap. ($45.00) No t-shirt
and goodies for me thank you.
_________ I am cheap and lazy. (35.00) Saturday's run and the on-after only.
_________ T-shirt size
(S, M, L, XL, XXL)
(T-shirts not guaranteed if not registered by
CUSTOMARY DISCLAIMER
I hereby release the Hash House Harriers from responsibility for any injuries,
deaths, debts, pregnancies or any other misfortune which may befall me related
to my participation in this event. In other words, if I get hurt, it's my own
stupid fault.
SIGNATURE:_____________________________ DATE: ____________________
Make checks payable to Sandy Thomas
Please print, sign and
mail to PMS at:
Sandy Thomas
1732 Del Norte