Contact name:

Email:

Primary phone:

Work phone:

Please call me at:

Street address:

City:

State:

Zip:

Child's name:

Turning age:

Actual birthday:

Child's school:

If the party is at your location include the following location & directions

Party at:

Location & address:

Approximate # of children: == Select One ==15 or less16 - 2425 - 3435 - 40More than 40

Option 1

Date:

Time:

Option 2

Date:

Time:

Option 3

Date:

Time:

Party package:

Grand finale!: == Optional ==The Science of Cotton CandyDry Ice & Bubbling PotionsRocket Science (Not available in The Lab)Hovercraft Rides

Other add-ons

Slime

Silly Putty

Superball

Van de Graaff

Goodie Bags

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

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