Derby Lanes Reservation Request Form

Party Reservation

Request Form
Contact Person Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Preferred method of contact*

EmailPhone Call
Address

Street Address

Street Address Line 2

CityState

Zip Code
Event Details
Requested Date & Start Time*

MonthDayYear
Date (up to 60 days out)
Time*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Number of expected guests*
Company Name
Number of expected bowlers*
Type of Event*

Corprate/Team BuildingHoliday PartyGroup OutingBirthday PartyOther
Please check the activity/room you want to reserve*

Bowling & Party RoomDuck Pin Bowling & Party RoomOther
Add On's Activities

Pool TableIronsPony PinsEscape Room - Haunted MansionEscape Room - Gold RushEscape Room - WizardsLazer TagVR Lazer TagArcade Card
Services Offered:*

CateredPrivate Bar ServiceN/A
Please enter any additional details, comments or questions below.
Special requests, order of events and how long
General Information
All events include 1 hour before and after event for set up/tear down.

Decorations are permited but may not damage furniture, walls or floors.

**Damages incured are subject to a fee unpon check out**

Birthday Parties -- You are welcome to bring in cake and ice cream during your party. Other outside food is prohibited, but our menu has a wide variety of food options, including our delicious pizza!

**Note we are not able to cold store your cake or ice cream**

All package prices are based on day, time of day, and time of year.

All prices are subject to tax/gratuity and are subject to change.

Packages are available with advanced reservations, deposit, and a 15 person minimum.

To ensure the best possible experience, we recommend placing reservations at least two weeks in advance. While we will do our best to accommodate last-minute requests, please note that reservations made within two weeks of the requested date may not be guaranteed due to availability.
Should be Empty:

Party Reservation

Event Details

General Information