https://www.ventmarkshows.com/ Birthday Party Request Form Parent Name* First Last Email* Phone*Name of Birthday Honoree* First Last Age*Please enter a number from 1 to 18.Date of Requested Party*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time of Requested Party* : Hours Minutes AM PM AM/PM Number of Attendees*Please enter a number from 1 to 50.15 children included. Additional children are $10 each.ThemePlease tell us if you have a theme in mindPackage Selection* Package #1 – Dance Party Package #2 – Puppets & Magic Add On – Princess Experience ($150 additional) Princess Selection* Moana Jasmine Pocahontas Tiana Elisa Anna Rapunzel Ariel Cinderella Belle Snow White Aurora Terms & Conditions* I have read and agree to the Terms and ConditionsDisclaimer: The undersigned jointly and severally hereby forever releases, discharges and acquits Dual Star Academy of Dance from any and all contracts, claims, suits, actions or liabilities both in law and in equity specifically arising from relating to or otherwise described as and limited to participation in any class including damages or injuries arising from or resulting from participation. This release shall be binding upon and inure to the benefit of the parties, their successors assigns and personal representatives. In case of an emergency, I give permission for emergency medical treatment. Any payments made by cash or check will require those funds to be turned in to the front desk within 5 days. If said funds are not received within the allotted time, Dual Star will discard said registration form. If a credit card payment is declined, account holders will have to update the credit card information by contacting the front desk. If a credit card is NOT updated prior to 1 day before the birthday party set date, Dual Star will discard said registration form. Dual Star Academy of Dance is not responsible for any lost or stolen items. Any items not claimed within the allotted time will be donated to charity. Δ