2. Please Note: Max capacity is 30 people.

4. Name*
6. Address*
8. City*
9. State*
10. Zip*
12. Email Address*
14. Phone
15. Other Phone
17. Name & Age of Birthday Celebrant*

    Must be between ages 2-12

19. Birthday Party Options*
    -- Select One --Basic Birthday PartyWild Things Birthday Party

    Learn more about Birthday Party Package details through the link below!

    • Birthday Party Packages (PDF)
21. Preferred Date & Time (Option 1)*
    Preferred Date & Time (Option 1)

    Preferred Date & Time (Option 1)
22. Preferred Date & Time (Option 2)*
    Preferred Date & Time (Option 2)

    Preferred Date & Time (Option 2)
24. Special Accommodations Needed
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field