Birthday Party Request

Birthday Party Request Form
Parent Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
I am a

HAC MemberNon-Member
Child's Name*

First NameLast Name
How old is your child turning?*
About how many CHILDREN do you expect to attend?*
When would you like your party to be?*

MonthDayYear
Available dates include Saturdays and Sundays from Noon - 2:00 or 2:30 - 4:30pm. Party date must be requested at least 3 weeks in advance.
What theme are you interested in?

Arcade & Crazy MazeCrafty CuisineSplish & SplashSports ManiaYogaGood Ol' FashionedLaser Tag
Additional Comments or Questions
Should be Empty:

Birthday Party Request Form