Registration
1 openings left in this event!

Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
 
 
 
Questions/Options:
PLEASE SELECT YOUR PARTY TYPE Below: (checked=yes)
Party 1: All-Star 2 Hour Party: $299 Total $125 deposit due at booking, $174 due week of the event
Party 2: Twinkle Star 1.5 hour Party:$225 Total $100 deposit due at booking, $125 due week of the event (checked=yes)
Party 3: Princess Party: $339 Total $125 deposit due at booking, $214 due week of the event
Party 4: BLASTER Party : $349 Total $125 Deposit due at booking, $224 due the week of the event (checked=yes)
Birthday Child Name: (Age turning) : Final guest count: Kids: _____ Adults: _____ b-day name:
*Please note: WE NO LONGER PROVIDE THE SERVICE OF ORDERING PIZZA THROUGH US. Should you wish to have pizza delivered to your party we recommend Domino's or Pizza Guys on Rob Drive.
What outside food is the party host bringing? (No additional Charge) Any food deliveries by the party host family, must be arranged with a delivery of 10 minutes BEFORE entering the party room.
I understand that if we bring/deliver outside food we cannot adjust our party time to accommodate a late delivery.
Would you like to add a Party Convenience Package for $25? Includes: table covers, plates, napkins, utensils in, Should you provide your own PLEASE PREPARE TO COVER 5 TABLES
Please verify that you understand all drinks are to be self contained. No 2-liter bottles or anything requiring cups. Juice boxes, cans, water bottles are acceptable. Alcohol is strictly prohibited.
I understand that alcoholic beverages are not permitted at the party or within the building/parking lot of Jump N Shout.
Is the guest bringing any outside vendors such as characters, face painters, clowns? Please describe and include special instructions.
Additional information the staff needs to be aware of for this party
OFFICE USE ONLY: Party Confirmed - Date: _______ By: _____ Pizza Ordered: __________ Delivery Time: __________ Ordered by: __________
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*