Party Request Form

Contact Information

Name:

Phone number:

Email address:

How did you hear about us? :

Party Details

Preferred date:

Preferred time:

Child's name:

Child's actual birthday:

Age that child is turning:

Approximate # of children attending:

Party location:

Party location zip code:

Party Package

Party package:

Upgrades and add-ons

Dry Ice Bubbling Potion

Cotton Candy Making

Dry Ice Bubbling Potion

Goody Bag with Science-Themed Toys

Kids' Mad Science Lab Coat

Additional Requests & Comments

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

Comments:

My child loves science! Please send me special offers and cool experiments