REGISTRATION FORM - BIG HUMP 2006 CAMPOUT / FLOAT

The 2006 registration is now ready to use!
(If you should happen to find your way here in 2007, don't use this form)

Hash Name:
Kennel:
Nerd Name:
Address:
City:
State:
ZIP:
Phone: (123-123-1234)
E-mail:
please check one  
$80.00 - I want it all! (Camping, Floating, Hashing & Give-aways)
$60.00 - No Float Trip (includes Camping, Hashing & Give-aways only)
$35.00 - Float Trip & dinner afterward only (no camping or hashing no Give-aways)
$70.00 - No Give-aways (includes Camping, Hashing & Floating only)
Payment Options:
please check one
I'd like to pay using my major credit card (via PayPal. No PayPal account required, but there's a nominal fee).
I'll need instructions for mailing a check.
I already gave/sent a check.
  
  
FOOD PREFERENCE
please check one
Vegetarian Menu
Carnivore Menu
  
please check one Do you want us to put your E-mail address on the who's coming web page?
YES
NO!!!
 
CUSTOMARY DISCLAIMER

I understand that hashing and drinking are hazardous activities and I do either / both of my free will. Neither I, my family or anyone else shall hold the officers or any member of the Big-Hump Hash or anyone connected with the Campout event liable for any misfortune that may occur to me. If I get hurt it will be my own fault. I am at least 21 years old.

By checking this box, I signify that I have read, understand, and agree to the "Customary Disclaimer" above.