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Party Request Form
Contact Information
Please fill out the section with * for a fun-filled birthday!
First and Last Name:
Phone number:
Email Address:
:
Party Details
Preferred date:
Preferred time:
Child's name:
Child's Actual Birthday:
Age that child is turning:
Approximate # of children attending:
up to 11
12-15
16 - 20
21 - 30
more than 30
Party Location!:
Home
Other venue
Party location zip code:
Party Package
Party package:
Silver (Standard Party)
Gold (Includes Dry Ice or Cotton Candy)
Platinum (Includes Dry Ice, Cotton Candy)
Make and Take Activity:
Slime
Silly Putty
Polymer balls
Upgrades and add-ons
Rocket Launch
Cotton Candy Making
Dry Ice Show Bubbling Potion
Goody Bag with Science-Themed Toys
Kids' Mad Science Lab Coat
Mad Science Print Invites
Additional Requests & Information!
Use the box below to give us any other pertinent information.
Comments:
Submit