TimberRidge Birthday Party Request Form

2. JCPRD Logo
   

4. First Name*

5. Last Name*

7. Address*

9. City*

10. State*

11. Zip Code*

13. Phone Number*

14. Email Address*

16. Birthday Child's Name*

17. Age Birthday Child is turning*

19. Date Requesting For Birthday Party*
    Date Requesting For Birthday Party

    Please fill in the preferred Saturday for the birthday party you are requesting.

20. Preferred Party Time*

    1. 10:00 am - 12:00 pm, with program from 10:15 - 11:00 am
    2. 12:00 pm - 2:00 pm, with program from 12:15 - 1:00 pm
    3. 2:00 pm - 4:00 pm, with program from 2:15 - 3:00 pm
    4. Zip Line/Climbing Tower party times vary depending upon availability - 3 1/2 hour party
21. Number of Kids Participating*

    If you have more than 15 kids for archery or bb gun parties, there is an additional fee of $4/kid upto 25 participants.

22. Number of Non-Participating People Attending

    Please list additional people attending the party but not participating in the activity.

24. Type of Birthday Party Requesting*

    1. Archery Party (15 guests) $139.00
    2. BB Gun Party (15 guests) $139.00
    3. Boating Party (10 boats, canoes of pedal boats only) $159.00
    4. Fishing Party (15 guests) $139.00
    5. Climbing or Zipline Party (20 guests) $300.00
25. How did you hear about our birthday parties? *

    1. TimberRidge Website
    2. Johnson County Park and Recreation Website
    3. Friend or Family Referral
    4. Facebook - TImberRidge Page
27. Notes:

    Add any additional information you have about your event here.

29. Staff Responding to Email

30. Date Contract Sent
    Date Contract Sent

    Date Contract Sent

31. Date Payment Made
    Date Payment Made

    Date Payment Made

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

* indicates a required field