Enter contest 

Win A Birthday Blast!

Fill out the form below to win a Birthday Blast!  Drawing will be held on March 15, 2011.  One (1) Grand Prize Winner will receive a Birthday Blast certificate, which entitles one lucky child to a free basic Mad Science Birthday Party for up to 15 children. (Travel fees may apply.)  Three (3) Runners Up will receive a color Mad Science T-shirt.  Kids:  Have your parents register as only adult registrations will be entered.  Good luck!  Contest ends at 12:01 AM February 15, 2011.

Parent Name*
Child Name*
Child Date of Birth*
Street Address*
City*
State*
Zip Code*
Phone Number*
Email Address*
Alt Phone Number
Child Gender*