Mad Science Party Request Form
Note that the submission of this form does not mean the party is booked.
Party dates and times are subject to availability.
We will contact you to make sure that we have all the details and you have all your questions answered.
Feel free to call us at 902-454-0863 in NS and 506-962-8558 in NB if you have any questions.
Your Name (first and last, please) *
Your answer
Your City/Town *
Your answer
Requested Party Date (1st choice) *
MM
/
DD
/
YYYY
Requested Party Time (1st choice) *
Your answer
Requested Party Date (2nd choice)
MM
/
DD
/
YYYY
Requested Party Time (2nd choice)
Your answer
Your Email Address *
Your answer
Your Phone Number *
Your answer
Address where party will be held *
Your answer
Birthday Child's Name *
Your answer
Expected number of children attending *
Your answer
Theme preference *
Take-home preference *
Would you like party invitations? *
Any add-ons requested? (check as many as apply) *
Required
Have you had a Mad Science party before?
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