MommyTime Indoor Playground
Visit us at 4412 Electric Rd. Roanoke, VA 24018 Tanglewood Mall On Second Floor Call: (540) 355-0788 for more information.
16 Kids Party
Accommodations for 16 Children. Any additional guests will result in additional fees.
Parent's Name
*
First Name
Last Name
Child's Name
*
First Name
Last Name
Gender
Boy
Girl
Color of paper supplies
*
Please Select
Yellow
Pink
Red
Blue
Purple
Mixed (Write colors in additional message box)
2 Liter choice
Coke
Sprite
Phone Number
*
E-mail
*
example@example.com
Party Booking
*
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Party Deposit
$
75.00
Pay In Full
Pay in Full Tax Included.
$
259.99
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Card Expiration
Security Code
Please click one of the PayPal options to complete payment and
submit
the form.
Additional Message: $75 Non -refundable Deposit is required to secure date, time and room. I understand that this is party for 16 Children and any additional guests will result in additional fees per child. All guests are required to wear socks, no shoes.
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