ECPAC Birthday Reservation Request
All parties packages include set up, clean up, silverware, plates, full service party host, invitations and goodie bags.
Room Rental DOES NOT include any of the above.
Email address
Parent Name
Your answer
Parent phone number
Your answer
Birthday girl/boy name
Your answer
Birthday child's age they will be turning.
Your answer
Preferred date (Please provide at least 2 Saturdays or Sundays)
Your answer
Choose your party package
Add Ons
What type of part would you like to have?
Please let us know if you have any questions, how many extra guests or special requests you may have, or any specific accommodations you may need.
Your answer
WAIVER AND RELEASE OF LIABILITY FOR PARTY PARTICIPANTSIn consideration of participating in any way with East County Performing Arts Center (Hereafter referred to as “The Studio”) and/or in any performance/athletic/recreational programs and related events, the undersigned does hereby:• Give consent that any photo media taken of participant in connection with “The Studio” may be used for publicity, promotion or television and waive competition in regard thereto. • Fully understand that any medical treatment given will be of a first aid nature only.• Understand that the participant/s will be engaging in activities that may cause injury and/or disability. Further, there may be other risks not known to us or not foreseeable at this time. Participant/Parent/Guardian assumes all the foregoing risk and accepts personal responsibility for the damages following such injury/disability.• Acknowledge that “The Studio” shall not be liable for any injuries and/or damages to any participant, client, member, member’s relative or visitor, or the property of the above aforementioned, or shall be subject to any claim, demand for injury or damages whatsoever, including, without limitation, those damages resulting from acts of active or passive negligence on the part of “The Studio”, their officers or agents. • Acknowledge “The Studio”, shall not be responsible for any lost or stolen articles including but not limited to automobiles and the contents thereof.• Release, waive, discharge, covenant not to sue and release from any and all liability all claims and demands for loss of property, damages and injury “The Studio”, their owners, employees, agents or executors.• Absolutely NO GUM, FOOD or DRINKS (other than water) allowed anywhere in the dance studio.
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms