Name:
Address:
Phone Number:
Email:
Birthday childs name:
Birthday childs age (on birthday):
Date For Booking (dd/mm/yy):
Which birthday party would you like?
Approx number of children:
Preferred Party Time: 10:30 - 12:30 12:45 - 14:45 15:00 - 17:00
Additional comments/notes
How did you hear about birthday parties at Rugrats and Half Pints?
Verify: Enter the numbers shown