REGISTRATION FORM - BIG-HUMP 2006 GREENDRESS RUN - 3/18/06
The one day registration price will increase to $35.00 on Thursday March 16th. Register soon!
Hash name________________________________
Nerd name ________________________________
Resident
Hash______________________________
Address___________________________________
City ______________________________________
State
_________________Zip_________________
E-mail ____________________________________
Phone ____________________________________
_________ I want it all! ($75.00) What a deal!!!
_________ I am cheap. ($30.00) Saturday's run and the on-after only. (NO GIVEAWAYS)
Jacket size?
_____ Med _____
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 Pornogenic at:
Sandy Thomas
7451 Warner