palatine park

Birthday Party Package Request Form

Birthday Party Package Request Form

"*" indicates required fields

Birthday Party Package Request Information

Guest of Honor's Name*
Select a Party Package*
MM slash DD slash YYYY
MM slash DD slash YYYY
Start Time*
:
End Time*
:
Preferred Location*
Will there be an outside vendor providing food or equipment?*
Please Note: A separate Certificate of Liability Insurance will be required for outside vendor

Personal Information

Applicant Name*
Date of Birth*
Required for Household Set Up
Address*
Terms & Conditions*