Ultimate Birthday Party request Request Form

Ultimate Birthday Party Request Form
Tell Us About You!
Contact Name*

First NameLast Name
Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Are you a member of the Omaha Children's Museum

YesNO
How many children will be attending: 24 children included*
How many adults will be attending: 10 adults included*
What date would you like for your birthday party? Birthday parties are only on Saturday-Sunday:We require at least two weeks in advance to book birthday parties.
What time would you like your Ultimate birthday party? Choose One:

10:00am-12:00pm2:00pm-4:00pm
Birthday childs Name and age*
What theme would you like for your birthday party?
If you want more than one theme please add additonal theme below*
Additonal theme
Would you like to add a Game Activity ? $10

BingoFloor is LavaBalloon Keepie -uppy
Would you like to add a Craft Activity? $20

Make BraceletsDecorate Crowns and SwordsDecorate MasksColor your Own Slap BraceletsMake Candy Necklace
Would you like to add Themed Coloring Sheets ? $10

YesNO
Would you like to add a Lego Activity? $10

1-6 years duplos legos7-10 Regular Legos
Would you like to add a Sensory Activity? $20

Frozen Dino eggStress BallSensory Bin
Would you like to add a Play-doh Activity? $20

YesNo
Would you like to add a Scavenger Hunt? $10

YesNO
Would you like to add a Science Show? $40

YesNO
Would you like to add Goodie Bags?

15 Goodie Bags $3025 Googie Bags $50NO
Would you like to add a Ride Ticket Bundle ? $50 Birthday ride tickets have to be used the day of the party and can not be exchanged for regular ride tickets.

YesNO
Would you like to add Pizza?$19 one large topping or $27 Large specialty pizza each.

YesNO
Would you like to add Gluten Free Pizza?Gluten Free one topping or $27 Gluten Free specialty pizza each.$30.00

YesNO
Would you like to bring your own food to your party?Outside vendor price $20.

YesNO
Will you need a Highchair?

YesNO
Do you want pitchers of soda? $7

Cherry CokeCokeDiet CokePibbBlue PoweraidLemonadeOrange FantaWater(No Charge)
Would you like a hot chocolate? $15

NOYes
Would you like a Ice cream Bar? $50

NOYes
Would you like extra time in the birthday room?

30 minutes $5060 minutes $100
Special Notes:There is a $50.00 deposit for birthday parties.We will call you to go over birthday party reservation and pay the deposit.We require at least two weeks in advance to book birthday parties.Birthday parties reservation based on availability.
Should be Empty:

Ultimate Birthday Party Request Form

Tell Us About You!