Title: Mr Mrs Miss Dr

Name:

Address:

Postcode:

Telephone Number:

Mobile Number:

Email:

Details of Child or Children

If you are holding a birthday party please put the child's age as the age they will be on their birthday

Name: Age: 1 2 3 4 5 6 7 8 9 10 11 12

If you would like to book a Joint Party with 2 or more children as the "host", please enter child's names and ages below:

Name: Age: 1 2 3 4 5 6 7 8 9 10 11 12

Name: Age: 1 2 3 4 5 6 7 8 9 10 11 12

Name: Age: 1 2 3 4 5 6 7 8 9 10 11 12

Details of Party

Centre: Burslem Crewe Stoke

Type of Party: Basic Party Toddler Party Private Party Pizza Party Karaoke Party Play-only Party Christmas Party

Please Note: Some parties are restricted to individual centres, certain times and days, we will try our best to allocate you your selected date, time and party type however this is not always possible

Date: Time: 10am 10:30am 11am 11:30am 12pm 12:30pm 1pm 1:30pm 2pm 2:30pm 2:45pm 3pm 3:30pm 4pm 4:30pm 5pm 5:30pm 6pm

Number of Children:

Please Note: Only Play-only and Toddler parties are for less than 10 children and Private Hire parties are for 20+ children

Theming: We hold an extensive range of popular, general, upto date and coloured themes, please tell us how your child would like their party table decorated in the space provided below :

If you have any special dietry needs please contact your local centre

Party Extras

Please tick the box next to each party extra you would like and then select the number you require where necessary

Party Bags - 55p per child

Jugs of Juice - £1.60 per jug 1 2 3 4 5 6 7 8 9 10+

Adult Sandwich Platter - £6.25 per plattter 1 2 3 4 5 6 7 8 9 10+