Real Name:  ______________________________________________________________  

Hash Name:  _____________________________________________________________

Home Hash: _____________________________________________________________

Address:        _____________________________________________________________

                       _____________________________________________________________
 
Phone # :       _____________________________________________________________ 

E mail:         ______________________________________________________________

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

Attending the Thursday Night Pub Crawl?   Yes ___________  No  _____________

Are You Going To Do A Skit?  Yes  ________  No _________ Maybe ___________
 
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, 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:          ________________________________________________