Party Request Form

Contact Information

Name:

Phone number:

Email address:

Party Details

Preferred date:

Preferred time:

Child's actual birthday:

Age that child is turning:

Maximum # of children attending:

Party location:

Party Zip Code:

Party Package

Party theme:

Upgrades and add-ons

Rocket Launch

Cotton Candy Making

Dry Ice Bubbling Potion

Goody Bag with Science-Themed Toys

Kids' Mad Science Lab Coat

Mad Science Print Invites

Static Electricity (Van de Graaff generator)

Additional Requests & Comments

Use the box below to give us any other important information.

Comments: