

| *Serving Atlantic, Cumberland and Cape May Counties in South Jersey* Fitness Playhouse PO Box 115 Green Creek, NJ 08219 (609)374-2961 |
| Character Appearances and Imagi"motion" Fun!! |
| Birthday Party Date:____________________________________________ Birthday Childs Name:__________________________________________ Age child is turning:____________________________________________ Phone Number:________________________________________________ Email Address:________________________________________________ Party Planner Name(parent):______________________________________ Entertainment Package $_________________ High School Musical Ballet Birthday Boot Camp Birthday Bash Preschool Parade Drama Queen for a Day Characters attending Is Fitness Playhouse hosting the event or Fitness Playhouse bringing the fun to you? $_________________ Total_______________________________________________ Special Event instructions:(what would help us make your child's day even more special?)__________________________________________________________________ ______________________ _________________________________________________________________________ ___ _________________________________________________________________________ ___________________________ Method of Payment: Cash Check Visa Master Card Discover American Express Amount of Deposit _______________ Amount remaining due one week prior to (50% is due upon booking) event__________ (Due to a limited schedule this is non refundable) A $30.00 returned check fee will be added for any bounced checks _________________________________________________________________________ Billing Address: Party Location: Party Time: _________________________________________________________________________ Directions: |
| The following form can be completed by phone or and sent to PO BOX 115 GREEN CREEK, NJ 08219 |