BIRTHDAY PARTY REGISTRATION

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Birthday Party Registration Form

Date of party
Date of party
(i.e 09/16/2014)
Birthday Celebrant name
Birthday Celebrant name
Contact Name
Contact Name
Phone contact
Phone contact
Address
Address
PAYMENT
To confirm your party date booking, Jimmy Potters requires a $75 non-refundable deposit. If there is no cancellations, the monies will be applied towards your balance. Remaining balance is due at the end of the party.
First & Last Name
First & Last Name