Birthday Party Registration Name* First Last This is the name of the person booking the party.Email* We absolutely do not share your email with any other company. We want to keep you all to ourselves!Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Best time to call you back for party confirmation* Birthday Person's Name* First Last Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Boy or Girl?* Boy Girl Desired Party Date* MM slash DD slash YYYY Desired Session Time* Wednesday 6:00-8:00pm Friday 6:00-8:00pm Friday 9:00-11:00pm Saturday 1:00-3:00pm Saturday 4:00-6:00pm Saturday 7:00-9:00pm Sunday 1:00-3:00pm Sunday 4:00-6:00pm Choose Your Party Package: All package prices are for 15 ppl incl the Birthday Child*-- Select Package --Roller Skating - $265Laser Tag - $265, (15 Player Max)Party package prices do not include gratuity.Type # of Guests*Please enter a number from 8 to 200.Type # of ADDITIONAL CA$H CUBE experiences ($10 each)Please enter a number from 0 to 200.Special Requests or Questions? Ask Us Here!Tell us about any special circumstances such as food allergies, additional birthday children, special needs guests etc. here.* I understand that no outside food or drink is allowed in the building except for a birthday dessert (such as cake, cupcakes or cookies). * No outside entertainment (costume characters, clowns, magicians etc) may be brought into Allskate Fun Center. Only painters tape may used for taping decorations. Any balloons used for decorating MUST be filled with helium. Glitter and Confetti are not allowed. Pinatas are not allowed. * I also understand that my party is not booked until it has been confirmed and the minimum deposit is received by a Allskate staff member either in person or over the phone.
