Kangaroo Jac's Birthday Parties and Indoor Children's Inflatable Party and Play Center

YOUR INFORMATION

* Name

* Address

* City

* State

* Zip Code

* Primary Phone

Alternate Phone

Best time to call

* E-mail

Preferred Contact Method

How did you hear about us?

YOUR RESERVATION REQUEST

Name of Child

Date of Birth
(participant age limit is 10 and under with a height less than 60 inches)

First Choice of your Event:

Date of Event

Type of Event

Party Package details

Select Time

Second Choice of your Event:

Date of Event

Type of Event

Select Time

Comments

IMPORTANT
One of our representatives will contact you
shortly in order to confirm availability.
We will attempt to contact you based of your preference listed above.

No reservation is complete until it is
confirmed by telephone and the required 50% deposit secured.

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