Party Booking Form | Electric Moon Theatre Company

Parent Name*

First Last

Email*

Phone Number*

Address*

Street Address Address Line 2 City Province Postal Code

Child's Name*

First Last

Child's age they will be turning*

1st Choice Date*

1st Choice Time*

: HH

MM

2nd Choice Date

2nd Choice Time

: HH

MM

Party Length*

Number of Children*

Party Package*

Choice of Add-On Prize*

Number of add-on prizes needed (indicate 0 if none required)*

Preferred method of payment

Would you like to be added to the Electric Moon mailing list*

How did you hear about Electric Moon parties?