Once you book your party please note that you are allowed to Upgrade to the next package, but we do not allow down sizing
your party. So please plan accordingly. This form does not automatically guarantee you have the reservation for your party. It
just states that you are looking into booking that date and time. A 50%  non refundable deposit is required to hold your
reservation, final payment due date of event.
**Save file on your computer – fill it out & email it to us flipflopinflat@bellsouth.net or fax it to us 770-898-5754  **
Child Information:

GENDER:                                  DATE OF BIRTH:                                       CHILD'S NAME
Male   Female                            _____/_____/_____                                     _____________________

Male   Female                            _____/_____/_____                                     _____________________

Parent Information:

Name (print): ______________________       Name (Signature): _____________________________

Address: ________________________  City: ______________  State: _____  Zip Code: _________

Contact #: _________________________   Email: ____________________________________
Best Form Of Payment: VISA     MASTER CARD     DISCOVER    CASH     CHECK     DEBIT
Best form of contact:            Phone                  Email      
How did you hear about us?  ____________________________________

Party Package Of Interest:

Private Classic:                              Private Deluxe:                                      Date/Time of Interest:
Up to 8                                           Up to 8                                              ________________________
Up to 16                                         Up to 16                                            ________________________
Up to 24                                         Up to 24                                            ________________________
Up to 36                                         Up to 36

Time Frame Options:
____  60 min play  60 min party
____  75 min play  45 min party

Banquet Style Facility Rental:    ____  ½ Facility Rental     ____  Whole Facility Rental  

Additional Options:

# ____ Extra Pizza (1 topping) ea. $10.00
# ____ Extra topping (each)     $1.00
# ____ Extra Pizza (Specialty) ea   $16.00
# ____ Extra 2 Liters ea. (includes ice & cups)  $3.00
# ____ Extra Capri Sun ea. $0.75
# ____ Extra Bottled Water  ea $1.00
# ____ Extra Place Setting (ea 5)  $2.00
# ____ Extra Bag Ice  ea  $2.00
# ____ Goody Bags  ea.  $2.50
# ____ T-shirts (Youth Sizes) ea $10.00
# ____ T-shirts (Adult Sizes) ea $15.00
# ____ Extra Balloons (12) ea $10.00
# ____ Build Ur Bear  8   16    24   36

Comments: ______________________________________________________________________