Name:

Phone number:

Email address:

Best time to call:

Preferred date:

Preferred time:

Child's name:

Child's actual birthday:

Age that child is turning:

Approximate # of children attending:

Party location: HomeOther venue

Party location zip code:

Party package: BasicWizardEinsteinCustom

Upgrades and add-ons

Rocket Launch

Cotton Candy Making

Dry Ice Bubbling Potion

Goody Bag with Science-Themed Toys

Kids' Mad Science Lab Coat

Van de Graaff Generator Show (Static Electricity)

Use the box below to give us any other pertinent information.

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