Name

Email

Phone

Postcode

Birthday Child's Full Name

Age Child is Turning

Requested Date of Party

How Many Children are Attending (approximate)

Requested Time of Party Requested Time of Party 10:00am 1:00pm

Preferred Party Package Preferred Party Package Deluxe Premium The Workz Mobile Mini Mobile Deluxe (presently not available) Mobile Premium (presently not available)

Preferred Theme for Party at our CENTRE Preferred Theme for Party at our CENTRE Galaxy Far Away (inspired by Star Wars™) Bat League (inspired by "The LEGO Batman Movie") Spinning Ninjas (inspired by LEGO® Ninjago) Superhero Academy (inspired by all our favourite superheroes!) Mining & Crafting (inspired by Minecraft™) Wizards (inspired by "Harry Potter") Emmett's Adventures (inspired by "The LEGO Movie") Movie Mash Up (inspired by all our favourite movies!) Brick City (birthday child is the Mayor!) Amusement Park Mayhem (build a fun park!)

How Did You Hear About Us? How Did You Hear About Us? Google Facebook Word of Mouth / From a Friend School Newsletter Flyer Centre Location Other

Any Other Comments?