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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Best time to call you back for party confirmationBirthday Person's Name* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Boy or Girl?*BoyGirlDesired Party Date* Date Format: MM slash DD slash YYYY Desired Session Time*Wednesday 5:00-8:00pmFriday 4:00-7:00Friday 6:00-9:00pmSaturday 12:00-3:00pmSaturday 2:00-5:00pmSaturday 4:00-7:00pmSaturday 6:00-9:00pmSunday 1:00-4:00Sunday 3:00-6:00Choose Your Party Package: All package prices are for 8 ppl incl the Birthday Child*-- Select Package --Skating & Game Room - $165, add'l guests $18 eachLaser Tag & Game Room - $165, add'l guests $18 eachSuper Skate & Laser Tag & Game Room - $225, add'l guests $25 eachParty package prices do not include gratuity.Type # of Children Guests*Please enter a number from 8 to 200.Type # of ADDITIONAL CA$H CUBE experiences ($5 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 ice cream or ice cream cake allowed. * No outside entertainment (costume characters, clowns, magicians etc) may be brought into Allskate Fun Center. * 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.