Sparking Imaginative Learning
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On-Line Request Form

 

Are you ready to book your party or just need more information right now?

Complete our request form and a Mad Science team member will contact you between 9 am - 5 pm, Monday to Friday.  Want faster answers?  Call us at (519) 839-6094.

Note:  You must enter a valid email address to use the request form.  Otherwise, the system will not forward your form to us.  Thanks!


REQUEST FOR INFORMATION

Name
City
Daytime phone
and/or Evening phone
E-mail
Contact me during
How did you hear about us?
My child took the After School Program.
My child attended Summer Camp.
A friend told me about Mad Science.
I saw an event where Mad Science was performing.

PARTY INFORMATION

Where would you like the party to be held?

What date would you like your party?  We'll do our best to accomodate your choice.

If my first date isn't available, I would also be interested in this date.

       

I'd like my party to start at this time (just to give us an idea).

There might be this many guests (including the birthday child).
Less than 10    Maybe 10 - 15   

PARTY TOPIC

I am interested in this party topic.  Recommended ages are shown.  Select all that apply.

Little Top (Pre-School)
Air Blast (ages 5 - 7)
Mad About Blue (ages 8 - 10)
Reactions in Action (ages 11 - 12)
Fizzy Physics (ages 5 - 12)  Recommended for outdoors

Please tell me more about these upgrades! Select all that apply.

Cotton Candy
Dry Ice
Rocket Launch
Hovercraft

I might also be interested in: Invitations Goody Bags Product Showcase Items

  

 

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