Birthday Party Booking Form 

How old will the birthday child be on his/her special day?

How many children will attend this party?

Where did you hear about Mad Science?

Other:

What is your zip code? (This will determine if a travel fee applies)

Can't find your Zip Code? Enter here:

Would you like to upgrade this party as a package?

Yes No

Which package would you like?

Value Party Pak $14.95 (a $18.65 Value)
null15 Color Mad Science Invitations
null1 Large Color Poster
null15 Color Sticker

Super Party Pak $37.95 (a $44.60 value)
null1 Value Party Pak
null1 Choice of one Upgrade Option:

Your Choice

Ultra Party Pak $66.95 (a $87.50 value)
null1 Super Party Pak
null1 Mad Science Color T-shirt
null2 Upgrade Options:

Choice #1

Choice #2

Would you like to upgrade the party without a package? Yes No

Which upgrade(s) would you like?
Cotton Candy $34.95
Rocket Launch $34.95
Bubbling Potions w/ Dry Ice $34.95

Would you like to add goodie bags? ($4.95 each)

Yes No

Quantity

Party Bag Contents
Temporary Tattoos

1 Spin Disk

1 Soak ‘N Grow

1 Polymer Putty

1 Flip Top

 Awesome Adhesives

1 Helix Flyer

Would you like to add any of the following extras?

Item
Price
Selection
Quantity
Giant Color Poster
$4.95
Color T-shirt
$12.95
Color invitations (15)
$10.95
Black Baseball Cap
$12.95

 

Birthday Child's Name:
Birthday Child's Gender:
Birthday Child's School:
Your First Name:
Your Last Name:
Your E-mail Address:
Your Home Address:
Your City and State:
Home Phone:
Work Phone:
Cell Phone:
Will The Party Be Held At The Address Above? Yes No

Please provide the following information if your party is not being held at the above location:

Your Party Location:
Location Address:
Location City and State:
Location Phone:

Mad Science birthday parties are available on a first come, first serve basis. In order to ensure your party will be on the date you select, please make your request at least three weeks in advance. Last minute request can be accommodated.

A $25.00 non-refundable deposit will be required for all party bookings.

Please choose when the party will be held.

First Choice:

Month
Day
Standard Times
Other Times

Second Choice:

Month
Day
Standard Times
Other Times

Please provide any special information that you think we may need to know:

Mad Science of St. Louis will need to talk to you to confirm this party.

Please choose a place and time to be contacted:

Home Work Cell

When should we call you?:
9:00 AM - 11:30 AM
12:30 PM - 3:00 PM
After 3:30 PM