MommyTime Indoor Playground
Visit us at 4412 Electric Rd. Roanoke, VA 24018 Tanglewood Mall On Second Floor Call: (540) 355-0788 for more information.
Renting A Party Room + Admission
(Bring your own supplies & Minimum of 8 kids will be charged)
Parent's Name
*
First Name
Last Name
Child's Name
*
First Name
Last Name
Boy Or Girl?
Boy
Girl
Turning age
Phone Number
*
E-mail
*
example@example.com
Party Time Slot. All Rooms are reserved for 1:45 min.
*
Payment
*
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Party Deposit
$
75.00
Balloon Arch
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Themed Party Settings
Desired Themed party setting
$
25.00
# of Kids
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Additional Message: $75 Non -refundable Deposit is required to secure date, time and room. I understand that the remaining balance will be due at the end of the party depending on how many guests attend (minimum of 8 kids is required in payment). All guests are required to wear socks, no shoes.
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