JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
EUREKA! Birthday Party Reservation Request
Please fill out the questions below in order to officially request a reservation.
Questions can be directed to birthdays@eurekasciencemuseum.org. We look forward to hosting your party!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Party Planner Name (parent/guardian)
*
Your answer
Contact Email
*
Your answer
Contact Phone
*
Your answer
Child's Name
*
Your answer
Age child is turning
*
Your answer
Preferred party date:
*
(weekends only)
MM
/
DD
/
YYYY
Second choice party date:
(weekends only)
MM
/
DD
/
YYYY
Time slot
*
10:30 AM - 12:30 PM (Saturdays only)
12:30 PM - 2:30 PM
1:30 PM - 3:30 PM
Package & Theme
Basic Package: $150 for Members, $180 for Non-Members
Deluxe Package: $220 for Members, $260 for Non-Members
*
Basic Package with no theme
Deluxe Package with the Future Doctors theme
Deluxe Package with the LEGO Party theme
Deluxe Package with the Unicorn Sparkle Slime theme
Deluxe Package with the Monster Madness Slime theme
Deluxe Package with the Dino Hunters theme
Deluxe Package with the Escape the Lab theme
Deluxe Package with the Mad Scientist theme
Are you a member of the museum?
*
Yes
No
Any additional comments
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of EUREKA! McConnell Science Museum.
Report Abuse
Forms
