Party dates and times are subject to availability. Your party is confirmed once you provide a $25 credit card deposit and receive a confirmation letter.

How did you hear about Mad Science Birthday Parties?: - Select one -Family MagazineSearch EngineMad Science WebsiteEmail From Mad ScienceAfter School ProgramFlyer Home From SchoolAttended Mad Science PartyHad Previous PartyFriend / ReferralCommunity EventYellow PagesOther

CONTACT INFORMATION
Parent Name
Home Address
Mailing Address
City, State, Zip
We must be able to contact you to finalize your party request. It is mandatory that you leave at least one phone number to contact you as well as your email address. Please give us the phone number(s) that we can best contact you.
Best phone # to contact you	- Select one -Cell PhoneWork PhoneHome Phone
Cell Phone
Work Phone
Home Phone
Email
BIRTHDAY CHILD'S INFORMATION
First & Last Name
Will Be Turning
Actual Birthday
Gender	- Select one -GirlBoy
Child's School
PARTY LOCATION
Party Address	Put party location & address here if different than home address listed above.
Directions to Party Location	List directions from nearest freeway.
PARTY INFORMATION
1st Choice	Time11:00am11:30am1:30pm2:00pm4:00pm4:30pm6:30pm or later
2nd Choice	Time11:00am11:30am1:30pm2:00pm4:00pm4:30pm6:30pm or later
Check here if your party is not on a weekend.  You will receive a call directly from the party coordinator to schedule a time and date.
# of Children Attending	- Select one -14 or less15-2223-3233-40
Make & Take	- Select one -Slime (Best for 5-12 yrs)Silly Putty (Best for 6-12 yrs)Superball (Best for ages 8-12 yrs)
UPGRADES
Invitations	- Select one -NoneInvitation Package (20) - $15Invitation Package (25) - $17.50Invitation Package (30) - $20Invitation Package (35) - $22.50Invitation Package (40) - $25
Goody Bags	- Select one -Yes, bring to my party ($4.25 each)No
Rocket Launch	- Select one -Yes - $45 additionalNo
Cotton Candy	- Select one -Yes - $45 additionalNo
COMMENTS & ADDITIONAL INFORMATION
Use the box below to give us any other pertinent information.
FINALIZING YOUR PARTY
Mad Science Birthday parties are confirmed on a first-come, first-served basis.   You will receive a call from Mad Science within 24 hours (Monday - Friday) to confirm your party. Confirmation requires receipt of a $25 deposit, that is applied to your balance. We prefer to take your deposit over the phone using a credit card to ensure the security of the transaction. Before clicking on the submit button check your information thoroughly. Complete any empty fields.  If you have any questions please call (858) 300-2480.
DETAILED INFORMATION: INVITATIONS & GOODY BAGS
If you decide to purchase invitations, they will be mailed to your home address once your party is confirmed. The cost of the invitations will be charged to your credit card, in addition to your $25 deposit. On the day of your party, we will bring goody bags for the amount of children you are expecting. You will only pay for the number of goody bags that you actually need.

This form is to request a Mad Science birthday party. 
Clicking on the submit button will send your party request 
to Mad Science of San Diego. 

Please do not submit this form for an inquiry only.
Send your inquiries to mail@madsciencesd.com
or call (858) 300-2480.