Please provide the following contact information:
Parent's Name Street Address City Zip/Postal Code Home Phone Cell Phone FAX E-mail
Birthday Child's Name Age: Child's Birthdate The Birthday Child is a Girl This Birthday Child is aBoy
Child's Birthdate
The Birthday Child is a Girl This Birthday Child is aBoy
Enter the date of the Party -- mm/dd/yy
*Birthday Party bowls first for one hour, then has party for 1 hour.
Enter the time to start bowling: 1:30 p.m. / 2:00 p.m. / 3 :30 p.m.
How many Children ?
Special Instructions for the Party?
NO OUTSIDE FOOD ALLOWED
You will be contacted by one of our employees, either by phone or email.
This form is NOT a confirmed reservation until contacted by our staff, and a deposit is made.
Total Cost of Party: ______________ Deposit Amount:_____________________
Cloverleaf Representative Signature Date Parent/Guardian Signature
Date