Name:

Phone number:

Email address:

Mad Science office is open M-F from 9am-4pm. What time can we call you?:

Preferred date:

Preferred time:

Child's name:

Child's actual birthday:

Age that child is turning:

Approximate # of children attending: - Select one -up to 1516 - 2425 - 34

Party location (Parties are not held at the Mad Science office): HomeOther Location Arranged by client

Party location zip code:

If you choose the Super Party Package, please select 1 Grand Finale below. For the Deluxe Package, please select 2.

Party Package: Basic Package ($210)Super Package ($255)Deluxe Package ($300)

Grand Finales and Additional Options

Rocket Launch Grand Finale

Cotton Candy Grand Finale

Dry Ice Bubbling Potions Grand Finale

Goody Bag with Science-Themed Toys (5 bags for $35 plus tax)

Kids' Mad Science Lab Coat ($9.00 per coat plus tax)

Use the box below to give us any other pertinent information.

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