Birthday Party Form

Name *

Birthday *

Gender *GenderMaleFemale

Parent 1 Name *

Parent 1 Phone *

Parent Email

Party Date *

Time *

• 11:00-1:00
• 12:00-2:00
• 1:00-3:00

GUESTS *

• Up to 20 Guests: $875 plus $150 Gratuity
• 20+ Guests: $975 plus $225 Gratuity

Credit Card Information - Secure *

First

Last

Agreements *

• In the event of an injury or illness at The Country School, I/we agree that all medical care, treatment and any associated expenses shall be the sole responsibility of the parent(s) or legal guardian(s). The Country School and its staff shall not be held liable for any such injury, illness, or related costs.

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