Teen Let's Taco Bout It Night

Parents are encouraged to stay with their child
Youth Name*

First NameLast Name
Age*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Does the child have any medical conditions that we should be aware of?*
Does the child have any allergies or special eating accomodations that we should be aware of?*
Parent/Guardian Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship*
Acknowledgment
I agree to follow the guidelines, rules, and policies of the organization. If a chaperone or driver is needed, I'll do that. I allow my child to be photographed or be part of the video that will be used for marketing, promotion, and advertisements. The repeated offense of the youth may result in suspension or expulsion. Parent/Guardian registered in this form has legal custody over the child. I allow my child to ride any vehicle that is related to the group's activities provided that there's an adult on board. For medical emergencies, I allow the medical team of this organization to take care of my child. I release this organization from any and all liability from accident or injury to the child during the organization related events.
Parent/Guardian Signature*

Clear
Date Signed*

MonthDayYear
Date
Tickets*
prevnext( X )
Youth Boys Bowling
includes 2 hr bowling pizza drink $5 arcade card shoe rental

$20.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Parent/Guardian Information