Club 345 Bowling Bonanza – Temple Israel of Hollywood

Club 345 – Bowling Bonanza – December 15, 2024

Child Name(Required)

First Last

Child Date of Birth(Required)

Child Grade(Required)

Third Grade

Fourth Grade

Fifth Grade

Allergies/Dietary Restrictions

We will be providing cheese pizza, chips, and Capri Sun

Parent Name(Required)

First Last

Parent Phone Number(Required)

Parent Email Address(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Cell Phone Number(Required)

Registration Fee

Amount:

Staff Code

cc fees

I wish to cover credit card fees for the temple by increasing my total by 3%

Credit Card Fees

$0.00

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

PLEASE NOTE: A waiver will be sent to the email address you listed above. Registration will NOT be complete until this waiver has been submitted.(Required)

I acknowledge that registration is not complete until this waiver has been submitted.