YMCA of Peterborough Birthday Party Registration Form

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					                    YMCA of Peterborough Birthday Party
                             Registration Form



Child’s Name: _____________________________ Turning Age: ______

Parent(s) Name: ____________________________________________

Address: _________________________________________________

Phone #’s (H) ______________________(C) _____________________

Date Requested: ___________________________________________

                 ** NOTE: Only offered on Saturday and Sunday **

# of Children Attending ______
** due to ratios, if there are more than 10 children attending, there will be an
additional fee of $10 to cover the second staff person **
# of Adults Attending ______
** if over 2 adults, each additional adult will be an additional fee of $5 each **



                 Type of Party *Please Check Preferred Option*

______ Option #1 Youth 6 years and older  1:00-4:00pm
This is a 3 hour party that will include one hour of gym activities or crafts, then one
hour of swimming. The last hour is spent in the party room enjoying cake, juice,
pizza and opening presents. A party host will be provided to you to decorate and
clean up the party room, lead all activities, games, or crafts and also prepare and
clean up the meal.

Activity: Gym ______ OR Craft ______
Cost: Members  $17.00/child        Non-Members  $21.00/child



______ Option #2 Preschool 3-5 years old  1:00-3:00pm
This is a hour party that will include the first hour of gym activities or crafts and
the last hour is spent in the party room enjoying cake, juice, pizza and opening
presents. A party host will be provided to you to decorate and clean up the party
room, lead all activities, games, or crafts and also prepare and clean up the meal.

Activity: Gym ______ OR Craft ______
Cost: Members  $13.00/child        Non-Members  $17.00/child
                          YMCA of Peterborough Birthday Party
                                   Registration Form

                      Food Options *Please Check Preferred Option*
______ Regular Cake:
       Cake Flavor: Chocolate ______Vanilla ______
       Icing Flavor: Chocolate ______Vanilla ______
       Design on Cake: Balloons ______ Flowers ______

______Theme Cake:

       Type of theme:    ____________________________________

Message on Cake:   ___________________________________________
               ** Theme cakes are available for an additional fee of $20.00 **

Pizza: Pepperoni and Cheese   ______           Plain Cheese______

               Additional Information *Please Read BEFORE Registering*
 A minimum of 6 party guests and a maximum of 15 (this includes the birthday child)
 We require that at least one adult be present for every 6 participants.
 For children under the age of 7 years old, there MUST be 1 adult in the pool to every 3
children.
 Each participant will receive 2 pieces of pizza, 1 piece of cake, and 1 juice box.

                                      Booking Agreement
Booking a party must be done in person to complete the registration form (we cannot book
over the phone or through email). A $50.00 non-refundable deposit will be required to hold
your requested date. If you must cancel your party reservation, you will loose your deposit.
If inclement weather, power outages, or any unforeseen outside circumstances cause for
cancellation then your deposit will be assessed.

I ____________________ hereby understand all birthday party policies and requirements
and accept full responsibility for the actions of all party participants during confirmed time
above.


Signature:   ________________________________ Date: ____________

--------------------------------------------------------------------------------------
Office use only

Option #_____ # of children_____ x amt/child$_____ + amt/adult$_____ +amt/2nd
staff$____ + theme cake$_____ = ______ - $50.00 deposit = balance $ _________

Deposit: ______________________________________________________________
              Amount           TRX              Date              Initial
Balance: _____________________________________________________________
                Amount                 TRX                    Date                    Initial

				
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posted:2/16/2011
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