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

YOUR INFORMATION

* Name

* Address

* City

* State

* Zip or Postal 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 Additional Options for Party

Ice Cream
Themed paper products
Balloons

Select Time

Second Choice of your Event:

Date of Event

Type of Event

Select Additional Options for Party

Ice Cream
Themed paper products
Balloons

Select Time

Comments

IMPORTANT
One of our representatives will contact you
shortly in order to confirm availability.

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

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