Pirates and Wenches theme Payment Details and Rego Form: Early bird: $95 until 30/09/24 – $105 after 30/09/24……. Payment by Direct Deposit. Westpac Bank – BSB: 032585 – Ac Number: 125314 – Account Name: Hash House Harriers CH4. Use your Hash name and 36th as reference. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Hash Name & Real name *FirstLastYour Home Hash Club *Gender *MaleFemaleOtherEmail *Phone Number *Please indicate what you would like to drink.Full Strength BeerMid Strength BeerCiderWhite WineRed WineIndeminity *I agree to the Terms and ConditionsI declare that I take full responsibility for all risks that may arise from my participation on the Coffs Harbour Hash House Harriers 36th Run Event. By submitting the registration. I indemnify Coffs Harbour Hash House Harriers, and associates from any liability related to any injury or grievous harm that may arise as a result of my participation on the Coffs Harbour Hash House Harriers 36th Run Event.Comment or MessageSubmit