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Party Request Form
Contact Information
Name:
Phone number:
Email address:
Best time to call:
Party Details
Preferred date:
Preferred time:
Child's name:
Child's actual birthday:
Age that child is turning:
Approximate # of children attending:
- Select one -
up to 14
15 - 24
25 - 34
35 - 44
more than 44
Party Location:
Home
Other venue
Party location zip code:
Party Package
Party theme:
Air Blast (Party A)
Fizzy Physics (Party D)
Unsure
Science Celebration (Party Z)
Upgrades and add-ons
Cotton Candy Making
Goody Bag with Science-Themed Toys
Mad Science Print Invites
Hovercraft Rides
Additional Requests & Comments
Use the box below to give us any other pertinent information.
Comments:
Promo code:
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