Nerd Name:  ______________________________________________________________  

Hash Name:  _____________________________________________________________

Home Hash: _____________________________________________________________

Address:        _____________________________________________________________

                       _____________________________________________________________
 
Phone # :       _____________________________________________________________ 

E mail:         ______________________________________________________________

Sex:                 M   _____    F _______      T-Shirt Size:  ______________________  Wet T-Shirt Size _______

Attending the Thursday Night Sunset Boat Cruise?  ($20.00 Additional)  Yes _______  No  _________

Are You Going To Do A Skit?  Yes  ________  No _________ 
 
Release:  I understand that any injury I sustain and any trouble I get into is my fault and  that I hold innocuous the Rumson Hash House Harriers and the event. I assume all  risk associated with running in this event, but reserve the right to blame it all on Herm the Worm, including all hazards. Having read this release and knowing these facts I sign this entry form of my own free will and assume all liability that may arise out of negligence or carelessness of the persons named in this release. 
              
Signature  ________________________________________________
 
Date:        ________________________________________________