Third Saturday: April

Third Saturday: April, Field Trip

This form serves as the permission slip to participate in Third Saturday: April at Bowlero Old Town
It's going to be a groovy night! We've got bowling and arcade games! Come dressed in your best funky & groovy look! All who dress up will be entered to win a Dutch Bros Gift Card.

Who	5th--8th Grade Youth Group
Staff/Chaperones	Mrs. Maddie Gong, Volunteer chaperones. We will need 2-3 parent chaperones
Where	Bowlmor Scottsdale (now called Bowlero Old Town ), 7300 E Thomas Rd., Scottsdale, AZ 85251
When	Saturday, April 23, 2022
Meet at	Bowlero Old Town at 6:45pm
Pick up at	Bowlero Oldtown between 8:30pm & 9:00pm
Transportation	Plan on meeting at the bowling alley at 6:45pm (we will begin to bowl at 7:00pm). *If you need a ride, please contact Ms. Maddie*
Cost	$20-pay online (cclphoenix.org/giving) or bring cash (includes shoes, 1.5 hours of bowling, 14 arcade credits, and soda. Snacks not included. Please bring your own snack money).

The undersigned hereby gives permission to take [student name] on the trip to:

Bowlmor Scottsdale, 7300 E Thomas Road, Scottsdale, AZ 85251, on Saturday, April 23, 2022

and with this agreement absolves the teacher, leaders Christ Church Lutheran, and any and all members of its governing boards of any responsibility for the safety, welfare, health and well-being of the child named above, beyond such matters as may be called reasonable care for children in the custody of a teacher and subject to the teacher's clear instructions, and assumes personally and exclusively all responsibility and liability for accident, injury, etc., which may occur to the above-named child during the time of the specific activity as set forth at the beginning of the paragraph.
Student name *
Parent/Guardian Name *

First Name Last Name
Parent/Guardian Signature *

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Parent Email *
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Parent Cell Phone *
How is your child getting home? *

I, the parent/guardian, will be picking up my child at Bowlero I, the parent/guardian, will not be picking up my child at Bowlero. They are going home with [name of individual picking up] whose phone number is [cell phone number] To be determined Other
Name of adult picking up my child

First Name Last Name
Phone Number of adult picking up my child
Please enter a valid phone number.
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Third Saturday: April, Field Trip