Qwivals Party Reservation Request Form
This form is to request your party. You will be contacted by our Birthday Coordinator to confirm your party and make payment agreements. If you would like to book a party for the next 48 hours, please contact us by email, as we cannot guarantee space availability.
Ultimate Giggles Party Package - $13.95/person 8-person min.
Refillable fountain drinks during 90 minute table time, paper goods, candles, plastic server, coupons and reserved area for 90 minutes.
PLUS 3hrs of UNLIMITED:
Bodacious Bumper Cars, Mini-Golf, Moon Jumpers, Corn Maze, Krazy Cars,
12 Water Balloons AND a Pick 2 of Lazer Tag and/or Go-Kart ride or passenger.
Laugh and Smile Party Package - $6.95/person 8 person min.
Fountain drinks, paper goods, candles, plastic server, coupons, and reserved area for 90 minutes.
PLUS 2hrs of UNLIMITED fun on (Pick 1 below):
Bodacious Bumper Cars, Mini-Golf, Moon Jumpers, Corn Maze or Krazy Cars
Add another attraction in this package from list above for only $3.50/person.
Required =
  PARTY PACKAGE:


PARTY EXTRAS:
  Large Cheese Pizza - $11.00
  Extra Pizza Toppings - $1.00 Each
  1 Go-Kart ride or 1 Lazer Runner Lazer Tag game - $4.00
  50 Game Zone Tokens - $11.00
  100 Game Zone Tokens - $20.00
  Pitcher For Drinks - $5.00
  Extra Paper Products - $1.00/Guest
PERSON HAVING PARTY FOR:
  First Name   Last Name   Age To Be
  Party Name   Number of People
  Party Date   Party Time

CONTACT PERSON:
  First Name   Last Name
  Email
    Address
    City     State     Zip
  Phone Number   Evening Phone Number
  Cell Phone Number     Fax
Special Comments: (Please list birthday persons favorite: color, cartoon character, sport, holiday etc .)