Jolly Roger H3, Ginnie Springs Pirate Invasion Campout Hash VIII
Friday-Sunday, May 15-17, 2015
REGISTRATION (REGO) FORM

Hash Name (If none put NONE):

 

Mortal Name (First, Last):

 

Area (Closest Major City, State, Province & Country)

 

Home Hash:

 

Phone Number & Area Code (###-###-####):

 
Gender (M or F):

 
E-Mail Address (Primary):


 
If not a hasher, association with hashing (relative, friend, etc):


 

Check the nights below you plan to campout at Ginnie Springs. You must check out before dusk if not spending the night.       

Thu, May 14th

 
Fri, May 15th

 
Sat, May 16th

 
Sun, May 17th

 
Remarks (Like non-beer drinker, vegetarian, not camping with our group, don't want the gimmie, etc)


 

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 risk involved, and will not hold anyone but myself responsible for my actions. I can hurt myself if I want to and if I do itís my own damn fault! I AM OF LEGAL DRINKING AGE.

Signature & Date:

 

Download the above form, fill it out, sign it and send it along with the rego fee payable to RICHARD GEERS, 7007 Orvicti Ct, Wesley Chapel, FL 33544. If you want do everything online, you can send a signed copy of the rego form to dab@jollyrogerh3.com and use your bank's on line bill pay system to send a check. Cost is $69 until Mar 31st. The cost goes up to $79 on April 1st, $89 on May 1st, and $99 on May 14th, or if you just show up and pay in person at Ginnie Springs. But you must let us know you're coming so we can add you to the list at the park check in office. Contact Dab for special arrangements for just Fri or just Sat.  Add $20 dollars for each additional camping nights before and/or after the specified dates.  The hash rego fee is non-refundable, but it is transferable, meaning you can sell it to someone else if you need to cancel.