Palm & Play Sensory Bag Bar Intake Form

Palm & Play Sensory Bag Bar Intake Form

Complete this multi-step intake after payment is made to reserve your event date and customize your sensory bag experience.
Booking Contact Information
Customer/Organizer Full Name

First NameLast Name
Organization/Business Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Contact Method
Billing Name

First NameLast Name
Confirmation
Event Details
Bookings must be made at least 14 days in advance.
Event Type
Event Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Event Start Time/ Activity start Time

Hour Minutes

AM/PM Option
Event Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Indoor or Outdoor
Estimated Setup Access Time

Hour Minutes

AM/PM Option
Event Contact Person

First NameLast Name
Event Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Age Group
Package and Participant Count
Package Selection
Number of Participants
Please make sure your accurately fill this out. Palm and play prepares for your event days in advance.
Will additional participants possibly be added?

Other
Additional participant notes
We understand that plans change. If you get a final headcount 48hours from your event please notify us so we can come prepared. Wristbands will be given and account for the paid amount of participants. Those without wristbands won't be able to participate.
How will the activity be used?

Other
Sensory Bag Customization
Event Theme
Please be as detailed as possible
Preferred Colors
Custom Label Wording
Child or Guest of Honor Name

First NameLast Name
Age Being Celebrated
Label Style Preference
Sensory Filler Preferences

Other
Materials or Colors to Avoid
Special Cultural, Religious, Character, or Branding Requests
Upload Inspiration Photos, Logos, Invitations, Color Palettes, Character References, or Customization Pictures

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Customization cannot begin until required files are submitted.
Gift Bag Selection
Are custom gift bags requested?

Other
Quantity of gift bags needed
$18 first dozen, $8 every half dozen after.
Custom thank-you tag or wording (optional)
File Upload:

Please upload the designs for the gift bags and tags if you have one. A design can be made $5.
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Participant Needs and Safety
Allergies
Material sensitivities
Sensory needs
Developmental needs
Behavioral or transition notes
Accessibility accommodations
Materials that must not be used
Safety acknowledgments
Please review the safety acknowledgments carefully before proceeding.
Setup, Location, and Event Readiness
Tables available for setup
Chairs available for setup
Is running water nearby?
Parking and loading instructions
Access details: stairs, elevator, entrances, or special instructions
Is this event outdoors?
Indoor backup plan if the event is outdoors
Space restrictions, venue rules, or setup concerns
Additional notes for setup and event readiness
Premium Services and Professional Partnerships
Which premium services are you interested in?

Other
Would you like a Palm & Play representative to contact you?
Are you a professional party planner or event company?
Are you interested in recurring bookings for future events?
Payment and Booking Policy
Acknowledge full payment is required to reserve the date
Acknowledge installment or pay-in-four options may be available through the website
Acknowledge submitting this form does not reserve or change an event date
Acknowledge bookings must be made at least two weeks in advance
Acknowledge the completed intake form and customization files must be submitted by the stated deadline
Acknowledge late or incomplete customization information may result in standard Palm & Play designs or limited customization
Acknowledge the final participant count and event details must be accurate
Acknowledge added services or participants may require additional payment
Acknowledge no production begins until payment and required information are received
Agreement and Signature
I agree that all information provided is accurate and complete
I agree to the event policies, safety terms, payment terms, supervision requirements, and customization terms
Electronic signature
Printed name

First NameLast Name
Date signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Final notes (optional)
Download this form if you plan to purchase custom names or letters. Also use this if your group requires special accommodations.
Should be Empty:

Palm & Play Sensory Bag Bar Intake Form

Booking Contact Information

Event Details

Package and Participant Count

Sensory Bag Customization

Gift Bag Selection

Participant Needs and Safety

Setup, Location, and Event Readiness

Premium Services and Professional Partnerships

Payment and Booking Policy

Agreement and Signature