Register (Non-voucher)

Child 1 Details

First Name

Last Name

Date of Birth

Day

Month

Year

Gender

Male

Female

School

Year

Shoe Size

Does the child have any allergies for which medication is required?

Does the child require assistance for a disability or other need?

Is this the first time the child has registered for Bowl Patrol?

Yes

AMF Moonah

162 Main Road
Moonah TAS 7009

03 6272 1029

Price

$99.00 Inc GST

Term 2 - Wednesday

Lane Ranger: Calvin Jenkins