Airtastic Play Land - Request A Date

REQUEST DATE

REQUEST A DATE FOR YOUR PARTY OR SPECIAL EVENT

Month      Day      Year

Time

Child's Name      Child's Age

Parent(s) First Name      Last Name

E-Mail Address Phone Number

Estimated Number of Children Attending Party

Select Your Party Package

        The Pizza package provides two (2) pieces of pizza per child
        We order CHEESE pizza unless you specify otherwise below


        Do you want additional Pizza's for the Adults
        Adult Pizza have 12 slices and feed 4-5 Adults


                   $15/Pizza + tax (Cheese plus 1-Topping)                Each additional topping is $2.00 + tax per topping

       Pizza #1 - Cheese & Additional Topping
       Pizza #2 - Cheese & Additional Topping
       Pizza #3 - Cheese & Additional Topping
       Pizza #4 - Cheese & Additional Topping
       Pizza #5 - Cheese & Additional Topping

Select Your Beverage Preference for the Children

Do You Plan To Bring in Cake or Dessert?

Will You Open Presents At The Party? If you open presents, you will have 15 minutes less of play time.

Any Special Requests

Please note that your reservation will not be guaranteed until your deposit has been received.