TPLH3 Registration Form

• Cost Options are: Hash only = $25, Hash + Haberdashery = $25, Hash + Bus ONLY = $35, Hash + Bus + Haberdashery = $45
• Registration deadline is January 25, 2008
• On-Site registration is available for cost PLUS $5.00
• Goodies: Hash, BEER, food, bon-fire, entertainment, Rat Hash Tags!

Sign up here (Online Registration) and then mail in your official registration.



---------------TPLH3 11th Annual Hash Ora-ficial Registration Form---------------

Up to January 31, 2008 (Circle One):
$25 = Hash Only
$35 = Hash + Haberdashery
$35 = Hash + Bus ONLY
$45 = Hash + Bus + Haberdashery

(On-site registration PLUS $5.00 after 1/25/08))

Hash Name:______________________________________________________________________

Name used in police logs:_______________________________________________________

Home Hash:______________________________________________________________________

Address:________________________________________________________________________

City:____________________________________________ Prov/State____________________

Country:______________________________________ Zip/Postal Code__________________

Phone Number_____________________________Fax Number_____________________________

Email Address___________________________________________________________________



Will you be doing a skit?    ______OnOn!      ______No

I understand that my consent to these provisions is given in consideration for
being permitted to participate in this event. I am aware of, and voluntarily
assume the risks of coming to this event. If I am injured, I agree that I will
not sue, or otherwise hold responsible, Phil the Groundhog or the TERRA PORCUS
LUX HASH HOUSE HARRIERS, or any affiliated individuals, or any run sponsor
and/or their employees: In other words, I take responsibility for my own actions
and I will not try to screw anybody connected with this event--and maybe, for
the first time in my life, I will be responsible for myself and my actions.

Your LEGAL Signature__________________________________ Date_____________________

Send to:  		(MAKE CHECKS PAYABLE TO THAD WILL)

	                Terra Porcus Lux H3 Run#11
                        c/o Thad "Pork Screw" Will
                        1663 Mountain Laurel Court
                        Warrior's Mark, PA 16877