Hash Name:_________________________________
First Name:_________________________________
Last Name:_________________________________
Address:_________________________________
City:_________________________________
State:_________________________________
Zip Code:_________________________________
Phone:_________________________________
Email:_________________________________
Emergency Contact:_________________________________
Home Hash:_________________________________
T-shirt Size:_________________________________
Short Size:_________________________________
Food Choice please pick one: ( Carnivore ) ( Vegetarian )
THIS IS A RELEASE AND INDEMNITY AGREEMENT
Hashing may be a dangerous activity involving walking or running over various types of terrain in unpredictable weather. I accept the risks involved, some known and some unknown to me at this time. I waive all rights for legal and/or civil action against all person(s) participating in or organizing this event. I forfeit all rights to sue anyone associated with or connect to the participants in this event. I further attest that I am of legal drinking age and will consume no more alcoholic beverages than I can handle and will stop myself when I have consumed my personal limit. I am responsible if I break any laws or hurt anyone due to my behavior. If I disrupt other guests, act like a total asshole, and generally piss off the entire group, I know that I will be kicked off of the property and made to feel shame for quite some time after the occurance.
Signature:_________________________________
Date:_________________________________