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

42. Do you have any special requests?

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

    1. Yes
    2. No

45. If yes, please explain:

47. Birthday Party Facts Sheet

    Click Here to view

49. 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.

51. 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:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field