Party Request Form

Contact Information

First Name:

Last Name:

Email address:

Phone Number:

Party Details

Preferred date:

Preferred time:

Child's name:

Child's actual birthday:

Age that child is turning:

County:

Party location:

Zip Code:

Party Package

Party package:

Party theme:

Upgrades and add-ons

Rocket Launch

Cotton Candy Making

Dry Ice Bubbling Potion

Chemical Volcano

Additional Requests & Comments

Use the box below to give us any other pertinent information.

Comments:

My child loves science! Please send me special offers and cool experiments