Bloomsburg Children's Museum Birthday Party Registration Form
Use this form to request a party date. We will contact you within 48 hours to discuss options and availability.

*PLEASE NOTE THAT SUBMITTING THIS FORM DOES NOT SCHEDULE YOUR PARTY OR GUARANTEE AVAILABILITY*
Email *
Party Host Name *
Birthday Child's Name & Age
Address *
Phone Number *
Date Requested *
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/
DD
/
YYYY
Second Optional Date Requested
MM
/
DD
/
YYYY
Time Choice (If you want to select a time slot that is not listed, or your party is after hours, select "Other" and our Party Coordinator will contact you.) *
Required
Choose a Package *
Approximate # of Child Guests *
Approximate # of Adult Guests *
Optional Package Add-Ons
Any Additional Notes?
Next
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