Party Request Form

Party request

Contact Information

Name:

Phone number:

Email address:

Best time to call:

Party Details

Preferred date:

Preferred time:

Child's name:

Child's actual birthday:

Age that child is turning:

Approximate # of children attending:

Party location:

Town and Zipcode:

Party Package

Party theme:

Upgrades and add-ons

Rocket Launch

Cotton Candy Making

Dry Ice Bubbling Potion

Goody Bag with Science-Themed Toys

Kids' Mad Science Lab Coat

Hovercraft Rides

Kids' Mad Science T-Shirt ($10 each)

Van de Graaff Generator Show (Static Electricity)

Additional Requests & Comments

Use the box below to give us any other pertinent information.

Comments:

My child loves science! Please send me special offers and cool experiments