ONLINE REGISTRATION
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You will need to down load the pdf fill in the
form for now
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See
FAQ
for possible solutions
* denotes required field
FAMILY NAME*
GIVEN NAME(S)*
DATE OF BIRTH (dd/mm/yy)*
SEX*
Male
Female
HASH NAME*
HOME HASH*
(please dont put something like BH3
there are 37 BH3,"s around the world)
ADDRESS LINE 1*
ADDRESS LINE 2
SUBURB*
STATE*
POSTCODE*
COUNTRY (if not Australia)
PHONE*
E-MAIL
EMERGENCY CONTACT (name)
CONTACT DETAILS
PREFERRED RUN LENGTH*
Ball Breaker
Long
Medium
Short
Run? As if!
T-SHIRT SIZE*
Small
Medium
Large
X Large
2X Large
Fat Bastard
PREFERRED BEVERAGE
Beer (heavy)
Beer (light)
Beer (the dark stuff)
White wine
Red wine
Sparkling wine
Cider
Softies
PREFERRED TUCKER*
Omnivore (eats anything)
Herbivore (hold the meat)
Other (e.g. food allergies)
Other food details
PREVIOUS NASH HASHES ATTENDED
1985 - Gold Coast QLD
1987 - Central Coast NSW
1989 - Townsville QLD
1991 - Launceston TAS
1993 - Perth WA
1995 - Adelaide SA
1997 - Geelong VIC
1999 - Gold Coast QLD
2001 - Darwin NT
2003 - Kalgoorlie-Boulder WA
2005 - Myuna Bay NSW
2007 - Canberra ACT
2009 - Cairns QLD
2011 - Hobart Tas
REGISTRATION FEES*
$300 Early Bird Paid before 30/11/11
$350 Keen Hasher Paid beforer 30/6/12
$475 Late Comer Paid before 31/12/12
$525 Slack bastard Paid after 31/12/12
Anyone registering after 31 December September 2012 is not guaranteed to get all commemorative items
RED DRESS RUN
Registration
$4
5
PAYMENT METHOD*
(see web page for details)
Direct depost
Cheque/Bank Cheque/Money Order
If you are registering with a transfer, click either of the above
I declare that I assume all risks that may arise from my participation in Aussie Nash Hash 2013. By submitting this online registration I indemnify Aussie Nash Hash 2013 Inc., its members and any sub-committees or individuals, sponsors, employees or associates from any liability related to any injury or grievous harm that may arise as a result of my participation in Aussie Nash Hash 2013 or any of its associated events.
DISCLAIMER*
(read above)
Agree
Do not agree (registration will not be accepted and processed)
Privacy:
Aussie Nash Hash 2013 Inc. is not bound by the Privacy Act 1988, but does endeavour to adhere to National Privacy Principles. Personal information collected on this form will be offered to the next host for the purpose of organising Aussie Nash Hash 2015, however individuals may opt out by advising Aussie Nash Hash 2015 Inc. of their desire to do so in writing.
