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: ________________________________________________