Birthday Party Selection Form

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A HAP PY H AS S L E F R E E B I RTHDAY WITHU S 4610 SAM P EC K R OA D | LI T T LE R OCK, AR 72223
501 . 2 2 5 . 3 6 0 0 | WWW.LRAC.COM
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We have everything you need for an exciting, hassle-free celebration. Select one of six different party packages and we’ll take care
of the rest! Our parties are perfect for kids ages 2 - 12. You’ll want to be sure and book your party at least 2 - 5 weeks in advance
due to high demand and limited availability. Birthday party packages include a personal party coach, your choice of sports, games
or swimming, the Moomba Maze, ice cream, sheet cake, fruit juice, party ware and balloons. Please note: The maximum birthday
party attendance is 25 children. There will be a $15 fee charged if the number of children exceed 25.
Scheduling
•
Birthday parties are held at the following times with the following stipulations:
•
Saturdays: 9:00 am, 11:00 am, 1:00 pm, 3:00 pm and 5:00 pm
•
Sundays: 1:30 pm and 3:30 pm
•
Saturday’s 5:00 pm parties are only 60 minutes long.
•
Swim parties are only available November – May.
•
Saturday’s 9:00 and 11:00 am time slots are not available for swim parties.
To check availability, call the DUC at 501-225-3601, ext. 335. A $50 non-refundable deposit and return of your “Party Details”
(page 4) are required to hold your preferred date and time. Both your deposit and party balance will be charged to the method of
payment you identify on the back page. The balance will be charged the day of the party.
A member of our staff will call three to five days in advance of your party to confirm your party selections and final count of guests.
You will be charged for the number of confirmed guests.
The Rules
• Each child must bring socks and a signed waiver which is available on our website, www.lrac.com/youth.
• Because of limited space, scooters, bicycles, tricycles and power wheels are not allowed.
• Games other than those listed in the party description must be approved by DUC management PRIOR to the start of the party.
• All children attending will be counted
as part of the party.
• Because of limited time acailable to
clean and set up, parties must end on
time. After which, you will be charged
$100 every 10 minutes.
PARTY
AGES DESCRIPTION
1 – 12
CHILDREN
13 – 24
CHILDREN
Pee-Wee
2-5
30 minutes each in the maze and the party room
Kid’s Club: $170
Kid’s Club: $200
Members: $190
Members: $220
Non-Members: $230 Non-Members: $260
Pee-Wee Plus
2-5
60 minutes in the maze plus 30 minutes in the party
room
Kid’s Club: $185
Kid’s Club: $215
Members: $205
Members: $235
Non-Members: $245 Non-Members: $275
Maze Craze
6-12
60 minutes in the maze plus 30 minutes in the party
room
Kid’s Club: $200
Kid’s Club: $230
Members: $220
Members: $250
Non-Members: $260 Non-Members: $290
6-12
60 minutes of non-stop action plus 30 minutes in the
party room. Choose from two of the following:
Kid’s Club: $215
Games - team relays, obstacle courses, parachute
Members: $225
activities, scooter board races; Sports - basketball,
Non-Members: $265
soccer, kickball, rollerblading
Sportwall; Maze play
6–12
60 minutes of free swim and 30 minutes in the
party room. Available November 1 through May 31
on Saturday and Sunday afternoons. All swimmers
must be 6 years old. Lifeguards will be on deck
during the event. 4 adults are required to stay for
the entire party.
A-Maz-ing Games
Splash Bash
Kid’s Club: $245
Members: $275
Non-Members: $295
Kid’s Club: $245
Kid’s Club: $275
Members: $265
Members: $295
Non-Members: $305 Non-Members: $335
PARTY DETAILS
Party Packages
Parent’s/Host’s Name: ___________________________________________________________________________________________________________________________________________
Child’s Name: _________________________________________________________________________________________________________________________________________________________
Address: _________________________________________________________________________________________________________________________________________________________________
Phone: __________________________________________________________ Email: ______________________________________________________________________________________________
LRAC, LRRC, NLRAC or DAC Member?
_____ Yes
_____ No
Kid’s Club Member?
_____ Yes
_____ No
What birthday is your child celebrating? ______________________________________ Age range of guests: _______________________________________
Party date confirmed with DUC Staff: _________________________________ Time confirmed with DUC Staff: _______________________________
Type of party confirmed with DUC Staff: _______________________________________________________________________________________________________________
If A-MAZ-ING GAMES, please select two of the following activity types you would like to play:
_____ Games and Relays
_____ Sports (please circle one) Basketball Soccer Kickball Rollerblading
_____ SportWall
_____ Maze
Would you like to upgrade your cake to 1/2 sheet (additonal $30)?
Host will provide extra party favors:
_____ Yes
_____ Yes
_____ No
_____ No
Additional Notes: ___________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________
Cake Selection (All cakes are baked fresh for you)
Cake flavor:
_____ Chocolate
_____ White
Icing flavor:
_____ Chocolate
_____ White
Cake theme (please select from list of choices): ____________________________________________________________________________________________________
Cake inscription: ____________________________________________________________________________________________________________________________________________________
*Cakes not listed under cake themes will incure an additional fee
PAYMENT INFORMATION
Person responsible for payment: ___________________________________________________________________________________________________________________________
Responsible party’s address: _________________________________________________________________ City: ______________________ State: ______ Zip: _________
Day phone: ___________________ Evening phone: ___________________ Email address: ____________________________________________________________________
Method of Payment (Indicate your choice by completing the appropriate information below):
For security reasons, your payment information will be encrypted by our computer software and this information will be shredded.
LRAC/LRRC Club Account Option (for members only/account must be current)
Name of member to be charged: _____________________________________________________________________________________________________________
Credit/Debit card option (Visa, MasterCard, Discover, American Express)
Name as shown on card: ___________________________________________________________________________________________________________________________
Credit card number: _____________________________________________________________ Expiration date: ___________ CCV number: _______
Pee-Wee
Pee-Wee Plus
Maze Craze
A-Mazing-Games
Super Sports
Splash Bash
Cake Themes
Army
Ballerina
Barbie (black)
Barbie (white)
Baseball
Basketball
Balloons
Blues Clues
Bob the Builder
Choo Choo Train
Confetti and Streamers
Dinosaurs
Doll Picture with Glitter
Dora the Explorer
Dots and Bows
Flowers with Glitter
Football
Go Diego Go!
Harry Potter
Hello Kitty
Hunting
John Deere Tractor
Little Mermaid
Make-Up
Mickey Mouse
Minnie Mouse
Monsters Inc.
Motorcycles
Power Puff Girls
Princess Crown
Race cars
Rugrats
Scooby Doo
Soccer
Spider Man
Sponge Bob
Strawberry Shortcake
Trucks
Tweety Bird
Volleyball
Zoo Animals