Bowling with The Waves

Student Info

Student Full Name

Grade

Any allergies, medical concerns, or accomodations we should know about

Parent Info

Name

Phone

This address will receive a confirmation email

Emergency Contact

Emergency Contact Phone Number

Parent Permission

Parent/Guardian Permission: I give permission for my student to participate in the Anchored Youth “Bowling with the Waves” event. I understand that this is an off-site youth ministry activity and authorize Anchored Youth leaders to provide appropriate supervision and seek emergency medical assistance if reasonably necessary.

Parent/Guardian Full Name

I have read the information above and give permission for my student to participate

Agree

Date

Transportation

Who is authorized to pick up your student?

$15 per student

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

In life, sometimes we have to roll with the waves… but this time, we’re Bowling with the Waves! Join Anchored Youth for a night of bowling, food, friends, and fellowship.
Bowling with the Waves
Friday, September 19 | 6:00–8:00 PM
Copperfield Bowl — Hwy 6
Cost: $15 per student

Bowling with The Waves

Description

Please Fix the Following