Name *

First Name

Last Name

Type of Group *

School

Company

Other

Date Event Date

MM

DD

YYYY

Desired Start Time *

Hour

Minute

Second

AM PM

Desired End Time *

Hour

Minute

Second

AM PM

Please Select All That Apply *

Will there be Children 8 or under needing Bumpers or Ramps?

Is the group Tax Exempt (Copy of form for our files is required if so).

Will your group be using the snack bar?

Will your group be using the bar?

Are you interested in renting the Party Room? ($20/Hour)