WSC Birthday Event Registration Form

1
Pick Your Date* This field is required.Select any green date from the calendar. Birthday party time slot 2:30 PM - 4:30 PM
Year
Month
Day
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2
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Hour
30
00
30
Minutes
PM
AM
PM
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Name of Birthday Child* This field is required.
3
Email* This field is required.
example@example.com
4
Phone Number
Area Code
Phone Number
5
Number of People Attending?* This field is required.Maximum Capacity 30 People
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Type of Cake* This field is required.
White
Chocolate
Banana Walnut
Carrot
Yellow
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Type of Icing* This field is required.
White Buttercream
Chocolate Buttercream
Chocolate Whipped
White Whipped
Cream Cheese
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What color icing would you like?
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Type of Filling* This field is required.
Strawberry
Raspberry
Cherry
Lemon
Fudge
Bavarian Creme
German Chocolate
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Decoration on Cake* This field is required.
Roses
Balloons
Streamers & Confetti
Dot Daisies
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Message on Cake* This field is required.
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Type of Pizza* This field is required.Our Birthday Package includes 2 large (14") Pizzas
Cheese
Pepperoni
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Additional requests
14
What Time Would You Like Your Pizza To Be Served? * This field is required.
Your Pizza Will be Served By
Your Pizza Will be Served By
2:30 PM
2:45 PM
3:00 PM
3:15 PM
3:00 PM
3:30 PM
3:45 PM
4:00 PM
4:15 PM
4:30 PM
15
My Products
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Hawks Birthday Package
$215.00+
Back
Additional Child
$10.00+
Back
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0
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Quantity
Subtotal: $0.00
Additional Large (14") Cheese Pizza
$15.00+
Back
1
1
2
3
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5
6
7
8
9
10
Quantity
Subtotal: $0.00
Additional Large (14") Pepperoni Pizza
$15.00+
Back
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Quantity
Subtotal: $0.00
Total cost $0.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
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