Birthday
Child’s Name:______________________________Age
_____
Address:
___________________________________________________________________
City, State & Zip:
____________________________________________________________
E – Mail Address_____________________________________________________
Home # _______________________________ Cell # _______________________________
Party Date: ________ Party Time______ Age group
______ Number of Children_______
Please check the party you are having:
Super Deluxe___Deluxe___ City
Limits (playground only)___Ultimate Party___
All parties will receive one slice of Pizza, Drink, Birthday
Cake & Party favor
Select one drink for your
party:
Soda______ Apple Juice_______ Fruit Punch______
Orange_____
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All
children must be fully potty trained to go into the Gym Area.
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All
Parents must stay upstairs or in the snack bar area.
Enclosed is my Non-refundable $200.00 Deposit
Check or Cash #_______
Parent
Signature_________________________ Date__________
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No Refunds for
Cancellations for any reason.