Please Note: this form is a request for contact only.  Someone from the Mad Science office will contact you to discuss the details of your party and confirm a date and time.

Name :  

Daytime Phone # :

E-mail Address :

Child's Name :

Age :

Preferred Dates for your Party :

Preferred Time of Day :

Would you like more information about any of our extras?

Loot Bags             Tablecloth            Invitations

Cotton Candy       Dry Ice                  Rocket Launch

REMEMBER: YOUR PARTY IS NOT "BOOKED"
UNTIL YOU SPEAK WITH A LIVE PERSON
FROM OUR OFFICE!!!