Event Reservation Form

Please take note: Kids can stay between 7pm to 7:30pm to light candles and help set the tables for the meal.

Contact Information

Your Title

*

Your First Name

*

Your Last Name

*

Address

*

City

*

State

*

Zip

*

Email

*

Child Information

Selection	Number of Children	Amount	Total
Full Session		45.00
July 14th		15.00
July 21st		15.00
July 28th		15.00
Total

	#	Selection	Child's Full Name *	Child's Birthday *

Reservation Amount

*

Total Amount

*

Payment Information

Card Number

*

Card Expiration

*

*

Security Code

*

Same as contact info

Billing Address

*

Zip Code

*

Name on Card

*