PARTY RESERVATION FORM for It's Game Time at the SuperBowl

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Yay! You've made the first and most important decision...to have your party with us! We are looking forward to working with you to make sure the special day goes just as you want. For starters, please fill in the requested information and submit the form to us. We will get back with you as soon as possible to confirm an available date & time. We try our best to accommodate date & time requests but if it's not available, we will do everything we can to make it work for you!

Birthday Child's First & Last Name(s) *

Your Name *

Party Package Choice *

Party Date Choice #1 *

YYYY

Party Time Choice #1 *

Party Date Choice #2 *

YYYY

Party Time Choice #2 *

Party Food Choices (select 1 please) *

Pepperoni Pizza

Cheese Pizza

1/2 Pepperoni 1/2 Cheese Pizza

Hot Dogs with fries

Party Drink Choices (select 2 please) *

Pink Lemonade

Dr. Pepper

Mountain Dew

Pepsi

Root Beer

Sierra Mist

Diet Pepsi

Required

Party Cupcake Choices (select 1 please) *

Combination Cupcakes(half chocolate/half white) with White Icing & Sprinkles

I will be bringing the cake and/or cupcakes

Number of Guests *

Phone

Your Email Address *

Comments/Questions:

PLEASE NOTE:

You will receive a confirmation with your scheduled date, time and party details. Once you receive a party confirmation, your party will not be considered officially booked until a $50 nonrefundable deposit is paid. You may come by, call us at (540)382-5525, or go online to www.nrvsuperbowl.net to pay your deposit. We recommend doing this as soon as possible so that your party date/time is guaranteed.

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