1. Name
2. Company
3. Street Address
4. City
5. State
6. Zip Code
7. Country
8. Email Address
9. Phone Number
10. Fax Number
11. Event Date
12. Location
13. Attendance
14. Start Time
15. Finish Time
Is the location secured? Yes No
Do we need to provide power? Yes No
Do you need a quote for catering this event? Yes No
Boom Blaster Competition Cash Cube Dunk Tank Flush 'em Fun-Ath-Alon Giant Surgery Game High Striker Lg. Mini. Golf
Pucker Powder Sand Art Sandy Candy Small High Striker Small Mini Golf Spin Art Inflatable Twister UFO Alien Maze
Midway Games / Fun Services Staff
Midway Games / Your Volunteer Staff
All star Arena Bounce Buccaneer Cameron the Caterpillar Dalmation Bounce Frog Bounce Fun Express Trackless Train Gorilligan's Island Huffer the Circus Train Jurassic Adventure Mermaid Bounce Old Woman In The Shoe Slide
Pirate Combo Slide Bounce Pony Ride Pony Ride with Petting Zoo Propella the Play Plane Pumper the Fire Truck Small Slide Starwalk Bounce Superslide Front Loading Tiger Bounce
Climbing Wall Adreneline Rush Boxing Bungee Run Double Shot Basketball Gladiator Joust Inflata Hoops Moonshot Arcade
Obstacle Course Space Maze Sports Arena Radar Pitch Sports Arena Soccer Kick Sports Challenge Sumo Suits T-Ball Velcro Wall
Balloons Bingo Clowns Concessions
Disc Jockey Face Painters Helium
20'x20' Tent 10'x10' Canopy
Other
Chairs ID Wrist Bands Portable Sinks Portable Toilets
Raffle Drum Tables Trash Cans Trash Dumpsters
Use the space provided below to add any additional comments, questions, or requests you may have. You can also use it to enter any information (e.g. Address) that the rest of the form did not accommodate.
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