2010 Campout Reg-o Form

campoutPatch

If you prefer, you can fill out the PDF, print it, and bring in to the Hash.
 

 
ALL MAIL IN REGISTRATIONS MUST BE POSTMARKED BY MARCH 1, 2010
3 DAY EVENT – FRIDAY THROUGH SUNDAY!
$50 fee covers a weekend of food, beer, and awesome gimmes.
NOTE: There is an $11/day tent fee. Of course, how many people you can put in your tent is up to you…
The price raises to $60 for day-of registration, with no guarantee of gimmes.

PAYMENT NOTES:

CASH IS PREFERRED, but PayPal (ononfrb@hotmail.com) and checks are accepted.
For Paypal, you still need this form! On the payment description, write “VDH3 Campout – (Your hashname here)”
WE WILL NOT ACCEPT CHECKS AFTER MARCH 1st!
CASH ONLY FOR ALL DAY OF REGISTRATIONS.

Please make out your payment to Angela Gomon and mail with this completed registration form with
signed waiver to: VDH3 Campout c/o Angela Gomon, 606 Julius Ave., Jefferson LA 70121
WAIVER:
YOU UNDERSTAND THAT PARTICIPATION IN THE EVENT IS POTENTIALLY HAZARDOUS, AND THAT A REGISTERED PARTY SHOULD NOT PARTICIPATE UNLESS THEY ARE MEDICALLY ABLE AND PROPERLY TRAINED. YOU UNDERSTAND THAT EVENTS MAY BE HELD OVER PUBLIC ROADS AND FACILITES OPEN TO THE PUBLIC DURING THE EVENT AND UPON WHICH HAZARDS ARE TO BE EXPECTED. PARTICIPATION CARRIES WITH IT CERTAIN INHERENT RISKS THAT CANNOT BE ELIMINATED COMPLETELY RANGING FROM MINOR INJURIES TO CATASTROPHIC INJURIES INCLUDING DEATH. YOU UNDERSTAND AND AGREE THAT IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THE EVENT, YOU AND ANY REGISTERED PARTY,
THE HEIRS, PERSONAL REPRESENTATIVES OR ASSIGNS OF YOU OR THE REGISTERED PARTY DO HEREBY RELEASE, WAIVE, DISCHARGE AND CONVENANT NOT TO SUE VOODOO HASH HOUSE HARRIERS FOR ANY AND ALL LIABILITY FROM ANY AND ALL CLAIMS ARISING FROM PARTICIPATION IN THE EVENT BY YOU OR ANY REGISTERED PARTY

Be Sociable, Share!

2 Replies to “2010 Campout Reg-o Form”

Leave a Reply