Date *

MM

DD

YYYY

Time

Hour

Minute

Second

AM PM

Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Name (Only If Kids Party)

First Name

Last Name

Add-Ons

Please select

DJ/Dance + Karaoke ($250)

Fresh Fruit Bowl ($55)

Cheese Pizza ($20)

Extra half Hour ($50)