Adventure Club

Bowling:
Saturday, January 14, 2023

For Ages 1o and up.

Desert Lanes, Hermiston
meet at First Baptist Church of Boardman at 1:15

Join us for an afternoon of Bowling and fellowship.
We will have time to bowl several frames as well as enjoy pizza and other snacks.
All costs are covered by our sponsor.

This months event is sponsored by:

BJK Truck Parts of Hermiston.

Please fill out the form below to register. We need to know how many will be joining us.

Adventure Club January 2023 Event - Bowling in Hermiston

Parent / Guardian Name
First Last
Email
Address
Street Address Address Line 2
Phone
Alternate Phone
Emergency Contact Person
First Last
Relationship to Youth
Emergency Contact Person Phone
1st Child's Name
First Last
Shoe size
2nd Child's Name
First Last
Shoe size
3rd Child's Name
First Last
Shoe size
Medical Concerns:
- Yes
- No
If yes to Medical Concern, please identify:
Church Affiliation:
Person who will pick up the child(ren):
First Last
Consent
I agree to allow photography or video.
I authorize Adventure Club leaders to photograph or video the child(ren) listed above for any lawful purpose associated with the Adventure Club.
Signature