REQUEST DATE
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    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.

     

Airtastic Play Land
850 S. Frontenac  Aurora, Illinois 60504
(630) 851-7525 | play@airtastic.com | www.airtastic.com

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