BIRTHDAY PARTY BOOKING
Please complete all fields
Party Date Requested: Day: Month: Date:
Party time Requested: Number of Guests:
Guest of Honors Name:
Actual Birth Date: Month: Date: Year:
Have you had a party for this person at this location before?

- CONTACT INFORMATION -
First Name: Last Name:
Address: Postal code:
E-mail:
Daytime Phone Number: Evening Phone Number:

- PARTY PACKAGE -
*READ PARTY INFO FOR DETAILS BEFORE BOOKING YOUR PARTY*
Choose your party package:
Bringing a cake? *No other outside food or drinks, thank you*
Would you like loot bags? Price: Quanitiy:

**IMPORTANT NOTICE**
A $50 deposit is required on all party bookings that include use of the party area.
*Deposit is refundable only if booking is cancelled more than 48 hours before event.
Party times and dates a subject to availability. All Parties must and will be confirmed by phone before booking is completed.
A representative of the store will contact you to finalize your party booking order.
Please do not send out invites till you have been contacted by our store.
Online bookings must be made no less than 5 days prior to the date requested or please call us direct at 654-4412.
Thanks for having your party at JACK POTT'S.