Splatters create & party Form

****all parties must be reserved ahead of time*****

Parents First Name *
Parents Last Name *
Address *
City *
State *
Zip *
E-mail Address: *
Phone (xxx-xxx-xxxx) *
How you heard about Splatters
If other or friend referral, please specify
Childs Name(s) *
Date of Birth (mm/dd/year)
Age Turning *
No. of Kids at Party - Total *
No. of Boys *
No. of Girls *
Theme Request (please choose one) *
Time slots of Party *
Party Date *
Would you like to open presents, if time allows *
Please choose flavor of cupcake *
Food Allergies *
$100 deposit required, please choose payment type *
Please add any other details you may have below:	none


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2009 Splatters Create-&-Party LLC. ® updated 11/30/2011