Request A Party 
REQUEST A PARTY ONLINE!

There are two ways for you to book a party:
1) Fill out this REQUEST form and we'll have a Mad Scientist contact you as soon as possible
< or >
2) Give us a call! (516) 620-6768**

**Keep in mind, submitting this form is ONLY a REQUEST until confirmed by a Mad Science Representative**
 

 

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Has your child ever seen Mad Science before?

Your Name:

E-Mail:

Home Phone:

Cell Phone:

Street Address:

City:  State:  Zip Code:

Birthday Child's Name:

Birthday Child's Age:    

 

Requested Party Date:

Number of Children:     

Requested Party Time:

                        

   


 
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