REGISTRATION FORM - BIG-HUMP 2008 GREENDRESS RUN - 3/15/08
Hash name________________________________
Nerd name ________________________________
Resident
Hash______________________________
Address___________________________________
City ______________________________________
State
_________________Zip_________________
E-mail ____________________________________
Phone ____________________________________
_________ I want it all! ($60.00) What a deal!!!
_________ Friday night Social only ($25.00) (NO GIVEAWAYS)
_________ I am cheap. ($45.00) Saturday's run and the on-after only.
Shirt 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 Big Hump and s
Doug Havlin
5024 Sutherland
St. Louis, MO 63109