Birthday Party Request Form

Parent / Guardian First Name *

Parent / Guardian Last Name *

Address *

City *

Province *

Postal Code *

Phone 1 *

Phone 2

Email *

Select a Party Package

Select a Time *

Preferred Date (Saturdays and Sundays only, May through September) *

Alternate Date

Birthday Child's First Name *

Birthday Child's Last Name *

Age birthday child is turning *

Approx. number of children *

Approx. number of adults *

Party Extras *

Do you have any questions or special requests / requirements?

Name

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