Brain STEM Birthday Party
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Parent Details
Parent/Guardian Name(s): *
Cell Number: *
Email Address: *
Home Address *
Preferred Payment Method: *
Birthday Child Details
Birthday Child Name: *
Age (turning): *
Date of Birth: *
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Please list any known health concerns or allergies of the birthday child, or participants.
Scheduling Details
Preferred Date of Party (first choice): *
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Alternate Date of Party (second choice):
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Start Time: *
Location/Address of Party: *
If applicable, gate code or special directions:
Party Package
The numbers below reflect the total number of participants including the birthday child. For celebrations larger than 20 kids, please visit our other pages to consider our other services!
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Number of Guests Invited *
Party Theme
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Additional Finales | $25 for 1; $45 for 2; $60 for 3
Do you have a 6-8' table available? *
Party Setting: *
Can the lights be dimmed? *
Additional Notes:
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This form was created inside of Brain STEM.