Child’s name: __________________________

Birthdate:________ will be age: _________

Host’s name: _____________ Phone: ________

Host’s address: _________________________

Requested party date: _______________

Time: 1:30 - 3:00 pm or?____________

Theme interested in: _______________

Number of children attending: ________

Age range: _________

Ordering _______ number of loot art bags at $4 per bag

Due to space please keep limit of adults to 2-3. A drop-off party for kids!

Total amount of party: ____________

Amount sending: _______ Balance:_____

A 50% deposit ($25.00 non-refundable) is due upon making your reservation.
The remaining balace is due on or before the date of your party.

*Please call #345-8881 to discuss theme possibilities or to hear about previous successful ideas.

Bring or mail contract to:
Hands On Minds On
69 Center Street
Rutland, VT 05701