Hash Name (If none put NONE):

Mortal Name (First, Last):

 

Mailing Address (####, Street Name, City Name, State and Zip Code):

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

E-Mail Address (Primary):

 

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

 

Birthday (##-##-####):

 

Citizenship (Country):

 

Gender (M or F):



 

Men's & Ladies Shirt Size (XS, S, M, L, XL or 2XL): We need both men's and ladies sizes from the ladies in case we only get men's sizes.

 

Home Hash (where you routinely hash, not your mother hash):


 

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


 

Type Cabin (Inside No Window, Outside W/Window, Outside W/Balcony, Mini Suite W/Balcony, Penthouse W/Balcony, other (please specify).

 

Cabin Mate 1:

 

Cabin Mate 2:

 

Cabin Mate 3:

 

Do you plan to attend the hash on Sat night, Jan 26th, 2019 in San Juan, Puerto Rico?

(Yes___ or No___)

Do you plan to stay at the hash hotel on Sat night, Jan 26th, the night before the cruise?

(Yes___ or No___)

Do you plan to stay at the hash hotel on Sun night, Feb 3rd, the night after the cruise?

(Yes___ or No___)

Remarks (Like, request help in getting cabin mates, 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 it’s my own damn fault! I AM OF LEGAL DRINKING AGE.

Signature: Date: