Name

First Name

Last Name

Date of Birth

YYYY

Grade

Address

Phone

(###)

###

####

School Attending

Session Choice

Number of Previous Years Bowling

Parent Name #1

Parent Name #2

Parent Address (if different than above)

Interested in Tournaments

yes

unsure

USBC Number (if known)

Siblings Bowling

yes

Names of Siblings Bowling

Do you have other bowlers you prefer to be on a team with? (responses are considered but not guaranteed)

Thank you for your registration!

Payment options:

make checks payable to

GRIZZBARRE ENTERTAINMENT dba WYANDOT LANES

and mail to:

121 E. Fairview Street

Upper Sandusky, OH 43351

Call 419-294-2921 with credit card information to make a payment over the phone

Pay in person with cash, check, or card.

See us at our booth in the Old Merchants Building at the Wyandot County Fair to pay with cash, check or card!

Reminder: Payment is due by the end of the fair to receive the promotional discounts!