Birthday Party Request Form Birthday Party Request Form We've got the formula for an astronomical Birthday Party! Your Information Title * Mr. Mrs. Ms. Dr. Mx. Name * Name First First Last Last Email * Phone * Mailing Address * Mailing Address Mailing Address Mailing Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Is this a combined Birthday Party for multiple children? * No, we are celebrating one birthday child Yes, we have multiple birthday children Birthday Child's Name * Child's Birth Date * Child's Birthday Age * Second Birthday Child's Name * Second Child's Birth Date * Second Child's Birthday Age * Are you a Science Center Member? * Yes No What is the name of the primary member? * Party Details Pricing: $500 for Non-Members | $450 for Members 23 guests (children and/or adults) and 2 free chaperones General Admission to all exhibit galleries Decorated Party Room for 2 hours Dedicated Science Center Birthday Party Host Coupon for each child to return for free Paper plates, napkins, and plastic ware Printable invitations Additional Guests: Your Birthday Party Package covers a total of 25 people. You may add additional guests to your party at the following rate: Members: $18.00/person Non-Members: $20.00/person Please Note: We can only accommodate a maximum of 35 guests per party What party time slot would you like to book? * 10:00am - 12:00pm 1:30pm - 3:30pm First Choice Party Date * Second Choice Party Date # of children (ages 1-17) * # of adults (ages 18+) * Party Add-Ons Goody Bags Goody Bags are filled with a variety of science-themed items. Recommended for children 3 and older. One complimentary Goody Bag for the Birthday Child will be included in the cost of your party Additional Goody Bags are $6.00 each Would you like to purchase Goody Bags? * Yes No How many bags would you like to purchase? * Parking Passes Discounted parking passes can be pre-purchase for you and your guests. Passes cover up to 5 hours of parking in the Science Center garage, located underneath our building Must be purchased in advance $7 per parking pass Would you like to purchase Parking Passes? * Yes No How many passes would you like to purchase? * If you are human, leave this field blank. Submit
