Children's Birthday Party Booking Form
Contact Information
*required fields
Name:
*
Contact Phone Number:
*
Email Address:
*
Birthday Child's Information
Child's Name:
*
Child is:
Boy
Girl
Child's Birthdate:
*
dd/mm/yyyy
Child's age:
*
yrs old
Party Information
Date:
*
dd/mm/yyyy
Time:
*
eg 1.30pm
Number of children:
*
BBQ required:
*
Yes
No
Party Package:
*
$20 per child D.I.Y
(prices quoted for 10 or more children)
$25 per child Fizzy Prize Pack
$30 per child The Triple "F"
$35 per child Mr Dizzy Pack
Other Information:
Payment
A $50 deposit is required to book and confirm your party.
I will be paying the deposit by:
*
Cash at Dizzyland
(weekends only)
Cheque
EFT
Credit Card
Referral
We love to give something back to happy customers. If you were referred to Dizzyland please let us know so we can send your friend a thankyou voucher. After your party please let your friends know about Dizzyland so you can recieve a special thankyou voucher when they book their next party at Dizzyland.
Were you referred by a friend?:
Yes, Friends Name
No
Terms & Conditions
by ticking this box , I accept the Dizzyland
Terms & Conditions
.
*
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Website by
Hyperstar
2008
