Birthday Request
CoreSoftware of Madison, Ridgeland, Jackson & Rankin
646-853-3375 lfondren@bricks4kidz.com
Give your child a birthday party they’ll never forget! We’ll provide all the FUN!
Personal Information
Parent's name:
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Email address:
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Phone number (please include area code):
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Child's name:
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Zip/Postal Code:
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Requested Date and Start Time for Party:
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How did you hear about us?:
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Google
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Word of Mouth
School Flier
Other (add below)
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Special Comments:
Add Birthday Request