EmailMe Form - Thanks for considering an Online KIDSTOCK! Party

Hosting Child *

First Last

Our party will be for:

Birthday Celebration

Social Gathering

Other Occasion

Child's Date of Birth *

MM / DD / YYYY

Child's current age *

Current Grade *

Child's Sex

Child's Preferred Pronoun *

Please check any/all that apply

My child has taken a class at Kidstock!

My child has attended a birthday party at Kidstock!

Any other important information about your child:

Please use this space to share any other details to help us create a great experience and empower us to be an advocate for your child's online party with Kidstock!

Parent Contact *

First Last

Parent Email *

Address *

Street Address City State / Province / Region Postal / Zip Code

Cell Phone *

### - ### - ####

Pick a Theme

Anticipated number of guests

up to 16 ($175)

up to 18 ($200)

up to 24 ($225)

Desired Party Date *

MM / DD / YYYY

Preferred Time *

1:30 PM

3:00 PM

either

Alternate Party Date?

MM / DD / YYYY

Preferred Time

1:30 PM

3:00 PM

either

Feel free to include a message to us if needed.

PAYMENT INFORMATION

Your credit card will NOT be charged until we speak with you regarding the date and time you wish to book your party.

Name on card *

First Last

Credit Card (please leave spaces between numbers as appears on card) *

Expiration Date *

CVV *

I understand that my party is not booked and my credit card will not be charged until I have spoken with Kidstock! to confirm date availability and party details. *

YES, I understand.

Please share with us how you learned of our Online Parties

$175 CHARGED ON

CONFIRM. EMAIL SENT

SPECIAL REQUESTS

INVITATION SENT ON

CONFIRMED HEADCOUNT

BALANCE AMOUNT - CHARGED ON