Birthday Party Request Form 
All parties must be booked a minimum of two weeks in advance. Members receive a 10% discount on birthday party packages and add-ons, however membership and guest passes cannot be used for birthday party admission. 
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Parent/Guardian Name *
Birthday Child Name *
Birthday Child's Age
Street Address *
City  *
State *
Zip Code *
Phone Number *
Email Address *
Are you a member of the Washington Pavilion *
Requested Party Date - 1st Choice 
(Saturdays & Sundays Only)
*
MM
/
DD
/
YYYY
Preferred Party Time for 1st Choice Date *
Requested Party Date- 2nd Choice
(Saturdays & Sundays Only)
*
MM
/
DD
/
YYYY
Requested Party Time for 2nd Choice Date *
Number of Children? *
Number of Adults *
Are you interested in adding pizza and/or beverages to your birthday party package? *
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