Requested Party Date: (required)

Birthday Child’s Name: (required)

Parent Name: (Required)

City, State, Zip: (Required)

Home Phone: (Required)

Cell Phone:

Work Phone:

Preferred Party Time: (11 AM - 9 PM daily)

Age this birthday: (required)

Street Address: (Required)

Email Address:

Which phone to call (in case we have questions):

Best time to call:

The Basic Party Package $12.95 Per Child Includes:

• 1 slice of Pizza or Hot Dog
• 1 refillable drink
• 20 arcade tokens
• Special party games to win additional tokens
• Visit from Eddie Eagle
• Invitations and Thank You notes

          Birthday Child Receives:

• 3 Balloons
• Birthday Certificate, Crown & Sash
• Special T-Shirt
• 250 Redemption Tickets
• 1 Picture of whole group

Extra Arcade Tokens at $20 per 100:

Other Add-Ons:  (Hold down CTRL for multiple selections)

Mini-Golf, Crazy Cubes Soft Play Area, Kiddie Indy Go Karts, Free Fall,
Sky Glider, Tornado, Baja Buggy, Giant Fun Slide

# rides per child

1

2

3

Unlimited

Speedway Go-Karts (must be 58 inches tall to ride alone)

# rides per child

1

2

3

Bungy Trampolines (20 to 200 lbs.)

# rides per child

1

2

3

Estimated Party Size:

Total # kids:

Total # Adults:

Birthday Child’s T-Shirt Size:

Child’s favorite balloon colors: (select up to 3)

I want the kids to be served:

Pizza (1 slice)

Pizza - 2 slices
($1.00 extra/child)

Hot Dogs

Chicken Fingers/Fries
($1.00 extra/child)

We will need extra Pizza for adults:

1

2

3

4

5