Orpheum Children's Science Museum

Reservations & Payment

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• Reservations & Payment

Basic Information
Name of Parent
Email Address
Phone Number
Name of Child
Child's Birthday	Month 1 2 3 4 5 6 7 8 9 10 11 12 / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Address
Street
City, State Zip	,
Party Info
Type of Party	Basic - $75.00 Private - $125.00 Themed - $155.00 Deluxe - $275.00
Requested Date
Extras
How many children will attend?	15 16 (add $5.00) 17 (add $10.00) 18 (add $15.00) 19 (add $20.00) 20 (add $25.00) 21 (add $30.00) 22 (add $35.00) 23 (add $40.00) 24 (add $45.00) 25 (add $50.00)
Would you like goodie bags?	Yes No (add $4/bag)

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