Birthday Party Reservation Request Form

Please Note: This form does not constitute a reservation.  this is a request only as birthday parties are based upon availability.  A representative from the Children's Museum will call you within 72 hours and will make every effort to accommodate your first choice.

* required fields

CONTACT INFORMATION

First Name: *                     

Last Name:*                      

Mailing Address:*              

City:*                                 

State, Zip:*                              

Daytime Phone: *              

Evening Phone:                

Email:*                              

BIRTHDAY CHILD INFORMATION 

Child's Name:*                  

Age:*                                 

Favorite Color:                  

PARTY INFORMATION

Party Package includes the following exhibits brought to your location and set up by two Play Pals:

Hopper Popper, Magnet table, Air Cannon, Face Painting Table, Musical Nails

Please choose two additional exhibits from the following list:

Please choose one of the following hands-on science  or art activities:

LOCATION

GUEST INFORMATION

Number of Children:*            (Minimum of 8 kids required for Package, Maximum of 25 kids)

Age Range:                         from   to 

Number of Adults:              

(We understand that this is an estimated number.  You will only be billed for the number of guests who arrive the day of the party.)

DATE OF THE PARTY

Comments: