WHERE:
Hobie Humper's (Andy Barber) House
1141 Garfield Avenue
Venice, CA 90291
(Between Venice Blvd. and Washington,
just west of Lincoln Blvd.)

  PRICE:
  Run only      $5.00
  Party only  $15.00
  TOTAL      $20.00
  (before June 15; after June 15 add
  $10.00 late fee for a total of $30.00)

NAME (non-hash):                                                                          NAME (hash)

ADDRESS:

PHONE:                                                              E-MAIL:

T-shirt size (T-shirts are extra)  S  M  L  XL

I am an adult and understand hashing and beer.  I acknowledge that I can hurt myself if I want to, and in consideration of my being permitted to participate in this event, I hereby waive any claims for damages that may ensue against LAH3 and the persons who are connected to this event.  I will not sue or hold responsible any such persons who are connected to this event.  Specifically, I will not sue Milli Vanilli, QuickTool, Hobie Humper, or any other hasher for any hash-related fuck-up or injury.  Once I send my money to Milli Vanilli, I will never ask for my money back.  I promise to have a good time, no matter what LAH3 does to me, and I will not whine.  I will gladly let Dinged-Up Dick cut to the front of the beer line.  As part of this waiver, I acknowledge that I have read and understood all of the above.  On-On!

Signature:________________________________________Date:________________________________