Party Booking Form

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*

Would you like a virutal party or outdoor party?*

Your child's t-shirt size for the gift bag - Please indicate Youth XS, S, M, L, XL*

Preferred method of payment*

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

How did you hear about Electric Moon parties?

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