Mad Science of Niagara Party Request
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 905-937-1878 if this form is intimidating.
Sign in to Google to save your progress. Learn more
Your Name *
(first and last please)
Your email *
Phone Number to reach you at *
Do you prefer us to contact you via phone or email? *
Preferred date and start time of the party *
We know you may not have hammered out the specific time, so just put something close...we'll be calling you to finalize
MM
/
DD
/
YYYY
Time
:
Name of Birthday Child
Date of Birth of Birthday child *
MM
/
DD
/
YYYY
Child's School
(if Mad Science has been at the school recently we want to make sure the party doesn't have the same experiments)
Number of guests invited?
Have you had a Mad Science party before?
Party Type
(if you know what party details you are going to include you can include it below, it will speed up the process when we call you to confirm party. Details are on our website at http://niagara.madscience.org/birthdaypartyinfo.aspx)
Clear selection
In-Person Party location (most parties are delivered in the home of the host, but community rooms, church basements, the room above the arena...you tell us where to go and we'll go there!)
Do you want to include Goody Bags? 
See what's in the goody bags - https://goo.gl/sCEDf1 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Engaging Learning Experiences for Ontario.

Does this form look suspicious? Report