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 Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe 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: $450 for Non-Members | $405 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: $12.00/person Non-Members: $15.00/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 toddlers (ages 2 and under) * # of children (ages 3-17) * # 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
