BIRTHDAY PARTY RESERVATION FORM

Contact Name (required):
Street Address: (required):
City (required):
Postal Code (required):
Telephone (required):
Email (required):

Party Date:
Party Rain Date:
Party Time Slot:

Name of Birthday Person:
Gender of Birthday Person:

Number of Children (required):
Number of Adults (required):

Upgrade Options:
Animal Rides: YES NO 
How Many: (required):
Goodie Bags: YES NO 
How Many & Size (S, M, L): (required):
Safari Helmets: YES NO 
How Many: (required):
Safari T-shirts: YES NO 
How Many: (required):

Safari Cafe:
Hot Dog and Small Fountain Drink - $6.00 ea - How many?
Hamburger and Small Fountain Drink - $7.00 ea - How many?
Chicken Fingers and Small Fountain Drink - $7.00 ea - How many?
Fries and Small Fountain Drink - $3.50 ea - How many?

Personalized Birthday Cake: YES NO 
Name on Cake:

To make this event extra special, please tell us a little about the guest of honor: