Party And Play Request Form Page 2
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1
2PARTY AND PLAY REQUEST FORM
Today’s Date___________________
Name___________________________________________Birthday Guest of Honor___________________Birthday age_____
Address_________________________________________City ___________________________State_____ Zip___________
Daytime Phone ___________________________________Email ________________________________________________
Preferred Party Date _______________________________Preferred Time of Arrival ___________
Based on availability
Number of guests, to be included in party package _______________
Number of additional guests, not included in party package _______________**
** Reserved seating guaranteed only for guests included in party package
❑
Party and Play Package
includes
BONUS ROUND ADDITIONS
- 1 hour of unlimited”video” game play
Additional Hour of Video Game Play
❑
........................................ $10 pp
plus 40 credits for the “prize” games
❑
Additional Credit Play
(prize and ticket games) ...............25 credits $5 pp
- Extra Large Pizzas (2 slices per guest)
$12 value!
....................................................................................................60 credits $10 pp
Choose: ❑ Cheese ❑ Pepperoni ❑ ½ and ½
$25 value!
..................................................................................................125 credits $20 pp
- Unlimited Soft Drinks
Mini Cheeseburgers
❑
(feeds 10) .......................................................$35 ++
- Chocolate Chip Cookies (1 per guest)
Chicken Wings
❑
Classic Buffalo or BBQ (feeds 10) .............................$42++
- Reserved seating**
- Free digital party invitation template
❑
Chicken Tenders
with BBQ sauce (feeds 10)) ..................................$32 ++
$15.99++ per guest*
Mozzarella Sticks
*minimum of 10 guests
❑
with Marinara (feeds 10) .....................................$25 ++
Fresh Vegetable Display
❑
w/ Buttermilk Ranch (feeds 10) GF*........$25++
❑
Level Up Package
includes
❑
Chips and Salsa
(feeds 10) GF* .......................................................$14 ++
- 1 hour of unlimited”video” game play
Vanilla Ice Cream
❑
...........................................................................$1pp ++
plus 90 credits for the “prize” games
Chocolate Chip Cookies
❑
(1 dozen) ................................................$12 ++
- Extra Large Pizzas (2 slices per guest)
❑
16” Cheese Pizza
(10 slices) .............................................................$15 ++
Choose: ❑ Cheese ❑ Pepperoni ❑ ½ and ½
16” Pepperoni Pizza
❑
(10 slices) .......................................................$17 ++
- Chips & Salsa
- 5-Balloon Bouquet
16” Meat Lovers’ Pizza
❑
(10 slices) ..................................................$19 ++
Preferred Color(s) _____________________
❑
16” Loaded Veggie Pizza
(10 slices) .............................................$19 ++
- Unlimited Soft Drinks
Goodie Bags
❑
........................................................................................ $3 pp
- Chocolate Chip Cookies (1 per guest)
Balloon Bouquets
(variety of colors)
- Reserved Seating **
48 hours’ notice may be required to accommodate
- Free digital party invitation template
5 Balloons
❑
............................................................................................ $5.99
❑
10 Balloons
$19.99++ per guest*
.......................................................................................... $9.99
*minimum of 10 guests
Your party is not confirmed without a 50% deposit and signed contract, which your coordinator will provide.
Please return this completed inquiry/request form to:
157 Easton Town Center, Columbus, OH 43219
FAX: 614-418-7162
EMAIL:
Name on Credit Card: ____________________________________
Credit Card # _______________________________Exp. ________
++20% service charge (gratuity) and applicable sales tax are added
157 Easton Town Center • Columbus, OH 43219 • 614-428-7529 •
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