Party Request Form 

There are two ways to plan your party:

Call our office at 519-472-8002.

Or for your convenience you fill in the form below and we will contact you to confirm the details.

Please complete the following information.

NOTE: Party dates and times are subject to availability. Your party will not be confirmed until Mad Science has provided you with a Mad Science Party Confirmation Form.

Hit "Submit" when form is complete

Mad Science of London, Ontario, Canada
Party Request Form
(not close to this location? Click Here to search for nearest)
What Prompted your Visit Today?
Your Name:  
Email Address (required):
 Mad Science Newsletter - Subscribe me to Mad Science of London's Newsletter to keep me up to date on Special Events and inform me of Mad Science of London's upcoming promotions & exclusive offers.
Home Phone Number:
Work Phone Number:
Cell/Alt. PH Number:
Best Time to Call:
Please Call Me At: Home  Work  Cell/Alt.
Street Address:   
City:
Postal Code:
Birthday Child's Name:
Child's Actual Birthdate:
Child's Gender: Male  
Child's School:
Requested Party Date:

Requested Party Time:

I am be interested in:

Party Package:   
Takehome:             
Number of Kids invited:  
Number of Goody Bags:  
Would you like to book the Mad Science Party Room for your party? ($40 charge, Meadowbrook Dr, London) 

Location: (ie XYZ Country Club)
Street Address:
City:   
Postal Code:
Comments/Special Instructions: