Party Booking Form

Your Contact Details
Your First Name: *
Your Surname: *
Relationship to child:
Your Contact Address: *
Town / City: *
Postcode: *
Phone Number: *
Mobile Number:
Your Email: *
Child's Details
Child's Name:
Date of Birth:
Child's School:
Any Allergies, Fears, Health Concerns: (e.g. nut/latex allergy, fear of balloons, asthma)
Previous parties/after school clubs/camps: (e.g. surname of host, location & date of the club, date of camp)

Party Details
Prefer Date for Party: * Prefer Start time: *
Reason or Theme of the Party: (e.g. Birthday party, Summer Party, End-of-school Party)

Venue of the party:

Is it indoor or outdoor?

Full Address includes postcode (if different from contact address above):
Estimated No. of children attending: * (you can adjust numbers nearer the party day)
Duration for the Monther Nature Instructor to attend the party: *
Age range of the children attending: *
Genders of the children attending: *
Party Bags required? *
Number of Party Bags (approximation) *
Select ONE Optional Activity:
(Please choose no more than ONE optional activities as part of your party. Each optional activity is about 20 mins long. Some options are subjected to addtitional charge on top of your party base cost.)
Option 1: Hovercraft ride (no extra cost)
(require large uncarpeted & flat floor surface with access to electricity)

Option 2: Giant Baloon (no extra cost)
(indoor/outdoor)

Option 3: Voice Warp Generator (no extra cost)
(indoor/outdoor with access to electricity)

Option 4: Water Rocket Launch (£30.00 extra)
(require access to outdoor space)

Option 5: Dry Ice show (£30.00 extra)
(indoor/outdoor)

Option 6: Candy Floss (£30.00 extra)
(indoor/outdoor with access to electricity)
Additional Information: (Please use this space to tell us any extra information or comment that you would like us to know)

Estimated Cost Illustration
Here is the "estimated" cost of your party based on the information you have provided in this form and it does not include mileage cost (50P per mile for the return distance between party venue and nearest Mother Nature Office). We will advice you the final total cost once the booking is confirmed.
Party base cost:£
Additional children cost (when more that 20 children):£
Party invitation cost:Free
Party bags cost (£4.99 per bags):£
Optional activity cost:£
Mileage cost:To be confirmed
Estimated sub-total:£
Have you send the cheque (payable to "Mother Nature Science") of £80.00 booking deposit via post? *
*
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