Girls' Night Out Party Registration
Name:
*
E-mail:
*
Phone:
*
City:
*
Party Date
/
Month
/
Day
Year
at
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
Time
Expected No. of Guests
Party Location
Terms & Conditions
*
Yes, I Have Read
Party Type
Pole Party Deposit
$
100.00
USD
S-Kitten Deposit
$
50.00
USD
Zumba or Belly Dance Deposit
$
30.00
USD
Location Deposit
$
30.00
USD
Total:
$
0.00
USD
Submit Form
Should be Empty: