Contact name:

Email:

Primary phone:

Cell phone:

Work phone:

Best time to call:

Please call me at:

Street address:

City:

State:

Zip:

Child's name:

Turning age:

Actual birthday:

Gender:

Child's school:

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

Party at:

Location & address:

Directions:

Approximate # of children: == Select One ==15 or less16 - 2526 - 35If more than 35 kids, we suggest a small assembly

Youngest age:

Oldest age:

Option 1

Date:

Time:

Option 2

Date:

Time:

Option 3

Date:

Time:

Party package:

Optional add on: == Optional ==The Science of Cotton Candy15 minutes of dry ice demoRocket Launch15 minutes of Van de Graaf machineHovercraft Rides (15 kids or less)

Other add-ons

Slime

Bouncy ball

Invitations

Goodie Bags

Child Lab Coats (one size)

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

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