Iguana LuLu In Honolulu
Thursday April 29 through Sunday May 2, 1999
• Registration Form •
Complete information about the event is on the Web
< http://harrier.net/iguana/ >

HASH CLUB: ______________________________________________________________

REAL NAME: ______________________________________________________________

STREET ADDRESS: _________________________________________________________

CITY/STATE/ZIP: _________________________________________________________

COUNTRY: ________________________________________________________________

HOME PHONE: __________________________ DAY PHONE: _______________________

FAX: _____________________ E-MAIL ADDRESS _______________________________

DATE ARRIVING _____________________ DATE DEPARTING_______________________

ARE YOU RENTING A CAR? YES___ NO ___ DATE OF BIRTH ______________________

T-SHIRT SIZE (100% Cotton): ________ SEXUAL ORIENTATION _________________

INTERESTED IN? (Y/N)

• Scuba __________________
• Snorkeling _____________
• Luau ___________________
• Booze Cruize ___________
• Oral Gratification _____

Please read, sign & date the following disclaimer:
I know and understand that hashing with the Iguanas is a potentially dangerous activity. We take pride in our lack of organization, manners & morals. Therefore I should not participate unless I am mentally & physically able and of easy virtue. I am an adult and as said adult, I assume all responsibility for my actions, including any injuries and/or damages that I may cause or suffer, thereby releasing the Iguana hash, its members and officers from any responsibility.

SIGNATURE _________________________ DATE _______________

Make Checks Payable To:
Rick Perkins

Mail To:
Rick "SmegmaBalls" Perkins
P.O. Box 1585
Austin, TX 78767

Phone: (512) 441-STUD (7883)
FAX: (512) 916-9640 (NOTE: You're not really registered until the $$$ gets into Smeg's grubby little hands)
eMail: [email protected]

Fees:

• $69.00 until the Ides of March (March 15th)
• $99.00 after March 15th
• Please note: You can't pay at the event

ZiPpY tC January 23, 1999