Birthday Party Request Form
Have your next party at Hermitage Dance Academy!
Birthday Honoree Shirt Size
Number of Participants (approx)
Number of Chaperones (Parents) Attending (approx)
Date Requested for Party
Theme of Party
Which Birthday Party Package would you like to purchase?
Basic Package $150
Super Package $225
All-Inclusive Package $300
Room Rental Only (Price TBD)
Would you like to have a character show up at your party? ($75+ per character, price depends on character chosen)
No thank you.
If you would like a character(s), please list character(s) requested.
Time of Party
1:00pm - 2:30pm
2:00pm - 3:30pm
4:00pm - 5:30pm
Name your Time (1.5 hours)
Would you like to purchase additional time for your party?
No, I do not wish to add extra time
Yes, I would like to add an additional 30 minutes for $30 extra
Yes, I would like to add an additional hour for $60 extra
Yes, I would like to add an additional hour and a half for $90 extra
Any other special needs for your party?
A copy of your responses will be emailed to the address you provided.
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