REQUIRED INFORMATION
    Passport Name :
  Hash Name :
  Address :
  Passport No. :
  Country :
  Mobile :
  Phone :
  E-mail :
  Gender : Male Female
  Blood Type : A B AB O Unknown
  Emergency Contact :
  Emergency Phone :
  T-shirt Size : S M L XL XXL XXXL
  Saturday Run : Short Medium Long Ball Breaker Not Runner
  Sunday Run : Short Medium Long Not Runner
  Food Preference : Halal Non Halal Vegetarian All
  Subscribe to E-mail List : Yes No
 
OPTIONAL INFO
  Grand Master : Yes No
  Voting Delegate : Yes No
  Hash Club/Chapter :
  City :
  State :
  Country :
  E-mail Address :
AGREEMENT
 
I accept that the organizing committee of the PAN ASIA HASH 2011, the hare(s) duly appointed by the committee, sponsors and the owners of the land and property where the runs may take place will take all reasonable safety measures for the well being of the participants; but accept no liability for any injury, damage or loss, however these may occur. I will also not hold the committee, its members or any affiliated person(s) responsible for any accident, loss, damages or injury sustained by me before, during or after the runs.
  I agree with the terms and would like to
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