Name:                                     Email:

Event address:                         Date:

City /State/Zip                       

Phone:            

Jumper:     First Choice Rip Curl Wet & Dry Slide Disney's Princess Magical Jump The Fun House Mardi Gras Mambo Water Slide Mickey Mouse Fun Factory             Second Choice Rip Curl Wet & Dry Slide Disney's Princess Magical Jump The Fun House Mardi Gras Mambo Water Slide Mickey Mouse Fun Factory

Services: Chose One (If Needed) DJ Karaoke DJ and Karaoke Decorations Snow Balls All Services Needed

Questions and Concerns: