Sprinker Birthday Party Request

2. First Name*

3. Last Name*

5. Address *

6. City*

7. State*

8. Zipcode*

10. Phone Number*

11. Email*

15. Event Date*

16. Session Time*
    -- Select One --Saturday 11:45A-1:45PSunday 2:00P-4:00P

17. Party Location*
    -- Select One --Rink SideParty Room

21. Note:
    Once your selections below have been submitted any changes or additions must be received by 12:00 pm on the Thursday before your party.

    Once your selections below have been submitted any changes or additions must be received by 12:00 pm on the Thursday before your party.

23. Gender
    -- Select One --FemaleMale

24. Birthday Person's Name*

25. Age Celebrating *

26. Number of Guests*
    -- Select One --1-1011 - ($9+tax)12 - ($18+tax)13 - ($27+tax)14 - ($36+tax)15 - ($45+tax)16 - ($54+tax)17 - ($63+tax)18 - ($72+tax)19 - ($81+tax)20 - ($90+tax)

    • 10 guests included • $9 (+tax) for each additional guest • Birthday person should be included in your total guest count

28. Note:
    The Party Package includes 4 large pizzas. Each additional is $6 (+tax).

    The Party Package includes 4 large pizzas. Each additional is $6 (+tax).

30. Pepperoni Pizzas
    -- Select One --12345678910

31. Cheese Pizzas
    -- Select One --12345678910

32. Drink Choice*
    -- Select One --Bottled WaterCapri-Suns1/2 Bottled Water 1/2 Capri-Suns

36. First Balloon Color*
    -- Select One --Pink PurpleGreenDark BlueLight BlueBlackWhite YellowOrangeTurquoiseRed

37. Second Balloon Color
    -- Select One --NonePinkPurpleGreenDark BlueLight BlueBlack WhiteYellowOrangeTurquoise Red

38. Table Cloth Color*
    -- Select One --PinkPurpleGreenDark BlueRedBlack Lime GreenYellow

40. Would you like to add ice bumper cars to your party?
    -- Select One --YesNo

    Add Ice bumper cars to your reservation for a discounted rate of $8 per 15 minute ride. After submitting your application we will contact you to check availability.

44. Do you have any special requests?

46. Do you need any special accommodations (ADA)?

    1. Yes
    2. No

47. If yes, please explain:

49. Birthday Party Facts Sheet
    Click Here to view

51. CANCELLATIONS:
    Reservations made less than 15 days in advance of the reserved date are non-refundable. • No rental fees will be refunded if reservations are cancelled 15 days or less of the reserved date. • A 50% refund of total rental fees will be given if cancellation is made 15-30 days prior to the reserved date. • Any cancellation prior to 30 days will be assessed a 10% fee of the total rental fees.

    Reservations made less than 15 days in advance of the reserved date are non-refundable. • No rental fees will be refunded if reservations are cancelled 15 days or less of the reserved date. • A 50% refund of total rental fees will be given if cancellation is made 15-30 days prior to the reserved date. • Any cancellation prior to 30 days will be assessed a 10% fee of the total rental fees.

53. Note:*

    1. I understand this application is only a request and does not guarantee a party. All applications will be processed in the order received.

Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field