Name of Birthday Child* ----------->

Age of Birthday Child* -------------->

Event Date Requested* ------------>

Time of Event* ------------------------>

Number of Guests* ----------------->

Name of Parent* --------------------->

Mailing Address Street* ----------->

Mailing City, State, Zip* ------------>

Phone Number with Area Code*

Date of Child's Birthday (if different)

Party Package* Package #1: Mini Gold, 10 Arcade Tokens, Ice Cream ($14.95 per person)Package #2: Mini Golf, 20 Arcade Tokens, Pizza, Pop, Ice Cream ($19.95 per person)Package #3: Mini Golf, Play both courses, 30 Arcade Tokens, Pizza, Pop, Ice Cream ($23.95 per person)

Optional Add-On Packages* Batting Package: 30 Batting Tokens for $25.00Arcade Package: 100 Extra Tokens for $20.00No Additional Add-on

Your email

Notes (optional)