BIRTHDAY PARTY REQUEST FORM by olliegoblue34

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									                             BIRTHDAY PARTY REQUEST FORM
                                     VANDALIA RECREATION CENTER
 1ST Choice Party Date:                               2ND Choice Party Date:

 Party Day:
         Friday                  Time:    6:00 p.m.
         Saturday                Time:   12:00 p.m.     1:30 p.m.     3:00 p.m.
         Sunday                  Time:   1:00 p.m.      2:30 p.m.

 Child’s Name

 Number of children/chaperones attending party                      Ages of children

 Contact Person

 Address
                 Street                      City           State                        Zip Code

 Home Phone (        )                                Work Phone (      )

 Package Choice                                                     (please see other side)
Office Use Only                                            (Pink – June, July, August)

Date Contacted                                      Payment Due By

            Resident/Member                                  Non-Resident

Charge for the party $                                     Payment Received
 Additional Fee          $                                 Amount Received
Total Fee                $                                   Cash
                                                             Check
                                                             Credit Card (VISA/Master Card)
Additional Comments:




SEPT/MAY FORM – COLOR – CHERRY                                                                REVISED 3/03

								
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