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Full Name *

First Name

Last Name

Child's Name *

First Name

Last Name

Phone *

(###)

###

####

Event Date *

MM

DD

YYYY

Time of Event *

*Latest event end time is 8pm*

Hour

Minute

Second

AM PM

Event Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Add-ons

Slide ($25)

Red Slide ($25)

Kiddie Coaster ($30)

Name Personalization on soft blocks ($30)

Name Personalization Upgrade ($50)

5ft Balloon Garland ($75)

SWEETIE White Bounce Castle ($120)

Venue Details *

House

Apartment

Club House

Private Venue

Public Park