Schedule your Party! 
 
  Book Your Party! - Information Form  
 

There are two ways to plan your perfect party:

Call a Birthday Party Specialist at 860-376-9451.

Or for your convenience you may e-mail us the form below.

 

Please complete the following information.

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

Hit "Submit" when form is complete

Mad Science Party Request Form

What Prompted You To Visit Our Web Site Today?  
Your Name:  
Email Address:
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/State:
Zip Code:
Birthday Child's Name:
Child's Actual Birthdate:
Child's Gender: Male  
Child's School:
Requested Party Date:

Requested Party Time: (11,2 or 5)

Location: (ie XYZ Country Club)

Street Address:
City/State:   
Zip:
Comments/Special Instructions:

   

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