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: ________________________________________________