Party Request

Party Request Form
Full Name*

First NameLast Name
Phone*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What date is your event?*

MonthDayYear
DateHourMinutesAM/PM Option
In case first choice is not available

MonthDayYear
DateHourMinutesAM/PM Option
Please choose which apparatus you'd like to party on!

PoleAerial SilksLyra (Aerial Hoop)BurlesqueChair DanceI would like 2 apparatuses
What are we celebrating?

BacheloretteBirthdayTeam BuildingFun Night OutOther
I would like to be notified about promotional services. Please note that we do not rent or sell your information to any third parties!*

YesNo
All parties require a $150 NON-REFUNDABLE deposit.

The date you choose is not guaranteed to be available.
Thank you for contacting us. Someone will get back to you within 48 hours.
Should be Empty:

Party Request Form