Fall Adaptive Bowling Registration

Fall 2025 Adaptive Bowler Registration Application - Sundays at 2:30 p.m.

Must be completed and signed by applicant (or supervising staff, parent or legal guardian if participant is under 18 or considered a vulnerable adult) COST: $56/Bowler
Adaptive Bowler Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
New Bowler or Returning Bowler?

New BowlerReturning Bowler, has bowled in league at Bowlocity in the past
Email Address (For upcoming registration info & announcements)
Residence Group Home Name (If Applicable)
Group Home Supervisor (If Applicable)
Group Home Phone (If Applicable)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Bowler or Legal Guardian Cell Phone Number
Does bowler need a ramp?

YesNo
Additional comments that you feel we should know about bowler.
Emergency Contact

First NameLast Name
Relationship to Bowler
Emergency Contact Cell Phone
Please enter a valid phone number.
Emergency Contact Home Phone
Please enter a valid phone number.
Bowler Team Placement Preference
List names below of bowlers who are registering in your league who you wish to bowl on the same lane with each week. If you do have a preference, we advise you to coordinate with your teammates prior to registration to organize your team and list those team members here. If no preference is listed, Bowlocity will place you with a team in your league who needs a bowler. Although we will make every effort to accommodate your requests, we cannot guarantee placement if the number of bowlers requested on a single team exceeds the maximum bowlers allowed per lane on this league. Requests will be handled on a first come basis. Maximum number of bowlers per team is 5.
In case of Medical Emergency:

Medical Emergency Release and Waiver of Liability

MUST BE SIGNED AND DATED FOR PARTICIPANT TO BE ELIGIBLE TO BOWL IN BOWLOCITY ENTERTAINMENT CENTER ADAPTIVE PROGRAMS.

I give my consent for the staff of Bowlocity Entertainment Center to seek out and approve

emergency medical attention for me if I am unable to do so for myself, and my Emergency & Back Up Emergency Contact are unavailable. I understand that by signing this release, that the best medical attention possible will be given and I will hold no one responsible for my medical bills, or other problems that may arise from such an emergency medical situation.

I recognize that there is a significant element of risk in any sport or activity associated with

recreation. Knowing of the inherent risks, dangers and rigors involved, I certify that I and/or my family is fully capable of participating in the sport of bowling. I assume full responsibility for

myself and/or my family, including any minor children, for bodily injury, death, loss of personal property and expenses thereof, as a result of my participation in this program. I also assume full responsibility for myself and/or my family, including any minor children for comments, behavior and actions during participation in this program.

I understand the risks involved with entering Bowlocity while Covid is present in Minnesota, Olmsted County, and the City of Rochester. I do not hold Bowlocity responsible for any

illness that may be contracted while inside the facility and any side effects or hospitalization that may result from such illness.

I have read, understand and accept the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon me and/or my participating family member(s) during the entire period of participation in the Adaptive Bowling Program at Bowlocity

Entertainment Center. I further give my permission for Bowlocity Entertainment Center to use photographs taken of me during bowling for use with marketing and advertisements.

By signing below I/We acknowledge that I/we have read and understand the information as stated above.
Bowler Signature (Or Supervising Staff, Parent, or Legal Guardian)

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Fall 2025 Adaptive Bowler Registration Application - Sundays at 2:30 p.m.

Bowler Team Placement Preference