Birthday Party Request Form - Chabot Space & Science Center

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Vista # __________
Birthday Party Request Form
Instructions: Please fill out & submit this form (Fax: 510.336.7491 / Email: ). Please
call 510.336.7311 if you have any questions. You will be contacted by a Chabot staff member once this has been
received.
Name of Birthday Person: __________________________________________________ Age: _________________
Contact Name: _________________________________________________________________________________
Address: _______________________________________________________________________________________
Phone: ______________________________________ Email: ___________________________________________
Chabot Member?
Yes, Membership # ___________________
I want to join, please contact me
_______________________________________________________________________
Step # 1
Please choose your package
I want the 90-minute Table Time (Add $50)
Cosmic Deluxe (Ages 4 & Up) – Self-Led Activity
Cosmic (Ages 3 & Up) – No Activity
Cost: $240 Members/$265 Non-Members
Cost: $215 Members/$240 Non-Members
Additional above 20 people: $12 child/$10 adult
Additional above 20 people: $10 child/$10 adult
Choose your RAFT Kit:
Slimy Science (Ages 3 & Up)- 30-Minute Activity
Rollback Can
Cost: $325 Members/$350 Non-Members
Spectroscope
Additional above 20 people: $16 child/$10 adult
Glove-A-Phone
Pop Rockets (Ages 7 & Up) – 1-Hour Activity
(Ages 5 & Up) – 1-Hour Activity
Polar Ice Cream
Cost: $325 Members/$350 Non-Members
Cost: $395 Members/$420 Non-Members
Additional above 20 people: $16 child/$10 adult
Additional above 20 people: $18 child/$10 adult
Step # 2
Please choose your date and Table Time.
OR
Saturday, Date: __________________________________________________________
Sunday, Date: _______________________________________________
Table Time starts:
Cannot begin before 10:30 am or end after 4:00 pm.
Step # 4
Activity Time
: (pick one)
Cannot begin before
Step # 3
Planetarium Show:
(pick one)
11am
Before my Table Time
After my Table Time
Before my Table Time
After my Table Time
Step # 5
Step # 6
My Estimated Head Count is:
Food Accommodations:
Red Boy Pizza (Please download the Red Boy form
# Adults:
# Extra Adults:
on the Birthday link)
# Children:
# Extra Children:
I will provide my own food
To be filled in by Chabot:
Arrival Time:
Table Room:
Activity Room:
Activity Time:
Show/Time:
Estimated Total Cost:
Deposit Paid:
$50.00
Date:
Balance Paid:
Date:

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