Ultimate Birthday Party Request Form
Tell Us About You!
Contact Name
*
First Name
Last Name
Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Are you a member of the Omaha Children's Museum
Yes
NO
How many children will be attending:
*
How many adults will be attending:
*
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-12:00pm
2:00pm-4:00pm
Birthday childs Name and age
*
What theme would you like for your birthday party?
Please Select
Barbie
Baby Shark
Bluey
Dino Dig
Disney Princess
Mario Brothers
Mermaid Sparkle
Minecraft
Paw Patrol
Rainbow Unicorn
Space
Pokemon
If you want more than one theme please add additonal theme below
*
Additonal theme
Would you like to add a Science Show? $40
Yes
NO
Maybe
Would you like to add a Ride Ticket Bundle? $50
Yes
NO
Maybe
Would you like to add a Sensory Activity? $20
Yes
NO
Maybe
Would you like to add Pizza?$17 one large topping or $25 Large specialty pizza each.
Yes
NO
Maybe
Would you like to bring your own food to your party?Outside vendor price $20.
Yes
NO
Maybe
Would you like extra time in the birthday room?
30 minutes $50
60 minutes $100
Maybe
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.
Submit
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