Parent/Caregiver Name:
*
First Name
Last Name
Parent/Caregiver Phone:
*
Parent/Caregiver Email Address:
*
Area/Post Code:
*
Birthday Child's Full Name:
*
Age Child is Turning:
*
Preferred Party Date and Time:
*
-
Day
-
Month
Year
Hour Minutes
AM
PM
AM/PM Option
Party Options:
*
Mobile party at your own venue or home
Party at Bricks 4 Kidz at Albany Creativity Centre (Auckland)
Party at Bricks 4 Kidz at Takapuna Centre (Auckland)
Party at Bricks 4 Kidz at Ellerslie Creativity Centre (Auckland)
Party at Bricks 4 Kidz at Hamilton Creativity Centre
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many children will attend?
*
Please Select
Up to 12 children
13 – 20 children
21 – 30 children
Birthday Party Theme: (Please select one or let us know your preference)
*
Superheroes
Princesses
Jurassic Park/ Dinosaurs
Ninjago
Harry Potter
LEGO City
Space Adventures/ Star Wars
Animals
Super Mario
Minecraft
Disney
Other
Special requirements
Please verify that you are human
*
Submit
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