Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 4St Bishoy’s Class Fun Day Location: Bowlero Sawmill located at 4825 Sawmill Rd, Columbus, OH 43235 Date: 02/16/2025 Time: 2pm to 4pm Please select an option: *Registration typeServant's RegistrationKid's RegistrationNextServant's Name *FirstLastI would like to donate *YesNoDonation Amount *Parent's Name *FirstLastParent's Email *Parent's Phone Number *Number of kids attending *1 Kid2 Kids3 Kids4 Kids5 Kids First Kid Name *FirstLast Second Kid Name *FirstLast Third Kid Name *FirstLast Fourth Kid Name *FirstLast Fifth Kid Name *FirstLastPreviousNextConsent FormParent / Guardian Name *Phone *Emergency Contact *Emergency Contact Phone *Insurance ProviderIndividual / Group #Please list any of your child's medications, allergies, or other medical conditions : *For multiple registrations please list the child’s name first then their list for allergies and/or medications.PARENT/GUARDIAN SIGNATURE REQUIRED FOR ENROLLMENT I hereby certify that my child is willing and able to adhere to the event guidelines. If the church chaperones/servants decide that my child must leave early, one of the servants will reaching out to the parent via phone. In the event of an unforeseen incident or accident, I hereby declare that I will not hold liable the church as an organization, or the chaperones in their capacity as church representatives. In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the church chaperones to hospitalize, secure proper treatment for, and to order injections, anesthesia or surgery for my child. I also give permission to the medical personnel selected by the church chaperones to order X-rays, routine tests, or treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child. I grant permission for my child to participate in every activity offered at the event. Display Current Date Consent *I agreeSignature * Clear Signature Suggested Optional Donation ($12 to cover 1 person; please feel free, if you are able, to use the "Other" to help with the Sunday School's activity expenses or if you have multiple kids) *$0$12OtherOther Amount *Minimum Price: $12.00Total$0.00PreviousNextTotal $0.00“Let your light so shine before men, that they may see your good works and glorify your Father in heaven.” Matthew 5:16 Stripe Credit Card *PreviousSubmit