Birthday Party Reservation Form

1
Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
3
Phone Number* This field is required.
Area Code
Phone Number
4
Childs Name
5
Age
6
Birth Date* This field is required.
Month
Day
Year
7
Party Choice- Scroll to see all options* This field is required.
Please Select
Please Select
Toad Party $250
Combo Party Golf + Mining $360
Mining Party $285
Dino Party $210
Pre-Historic Party $330
Toad GLOW Glow in the Dark Mini Golf $310
Custom
Not Sure Lets Chat
8
Add on options
Cotton Candy $45 (most popular)
Add Cream $25 (10 Choice)
Bug Slush $15 (10 total)
Bounce House $100
Karaoke $25
Replace with Burgers & Fries $50 (10 total)
Replace with Burgers & Fries $50 10 total) Dino Eggs $35 (10 total)I am not sure lets chat(
10 total) Dino Eggs $35 (10 total)
I am not sure lets chat
9
Date & Time of the Party Request* This field is required.
Date
Month
Day
Year
5
1
2
3
4
5
6
7
8
9
10
11
12
Hour
50
00
10
20
30
40
50
Minutes
PM
AM
PM
10
Questions/Notes
11
Visit our party page for more info
Should be Empty: