YOUR NAME: *


YOUR ADDRESS: *


YOUR EMAIL: *


YOUR PHONE NUMBER: *


I PREFER TO BE CONTACTED BY: *
Email
Phone

DATE I'D LIKE TO HAVE PARTY: *


POSSIBLE ALTERNATE DATE(s)


CHILD'S NAME & AGE (if birthday party):


APPROX. NUMBER OF GUESTS:


PARTY PACKAGE I'M INTERESTED IN: Details on Party Page *
--Please choose from options in this menu-- #1: Games & Movie Party w/ Food and Sundae #1: Games & Golf Party w/ Food and Sundae #2: Mini Golf & Movie Party w/ Food and Popcorn #3: Games & Movie Party w/ Food and Popcorn #3: Games & Golf Party w/ Food and Popcorn #4: Game Room Party w/ Food and Sundae I'd like to "build my own" party package (check options below)

or BUILD YOUR OWN PACKAGE: (check options below)

Movie —

Arcade Games —

Miniature Golf —

Meal —

Ice Cream —

Popcorn —

Other Snack —

HOW I FOUND OUT ABOUT YOUR PARTY PACKAGES: *
--Please choose from menu options below-- Saw it on your website A friend or acquaintance told me My child attended a party at The Casino I've hosted a party at The Casino before Other (Please explain in text box below)

ADDITIONAL DETAILS or QUESTIONS: *


Subject: *
Casino Party Inquiry