Parent/Guardian First Name: *
Parent/Guardian Last Name: *
Address 1: *
Address 2:
City: *
State: *
-- Please Select --
AL
AK
AS
AZ
AR
AA
AE
AP
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Daytime phone number: *
E-mail: *
Zip Code: *
Are you a Blank Park Zoo member?: *
-- Please Select --
Yes
No
Date of Requested Party: *
format date mm/dd/yyyy
(mm/dd/yyyy)
Party Time Requested: *
For Months May - October Only
Birthday Guest Name: *
Age: *
Is the birthday guest a boy or a girl?: *
-- Please Select --
Boy
Girl
Party Package: *
Please select the package option you would like. Outdoor rentals happen rain or shine.
-- Please Select --
Zoo Party ($165)
Zoo Party Outdoor Rental ($125)
Kids Kingdom Party ($180)
Kids Kingdom Party Outdoor Rental ($140)
Wild About Africa Party ($200)
Wild About Africa Party Outdoor Rental ($160)
Night Eyes Party ($165, October 17 - 20 & 24 - 27 only)
Choose Two Animals: *
If a requested animal is not available for any reason a substitution will be made.
Number of Adult Guests Age 13+ ($8.00 each): *
Will confirm numbers the week before the party, you are only responsible for paying for the guests that come to the party.
Number of Child Guests Age 3-12 ($5.00 each): *
Will confirm numbers the week before the party, you are only responsible for paying for the guests that come to the party.
Art Activities in the Party Room (optional):
-- Please Select --
Painted Boomerang Activity - $5 per child
Face Painting - $3 per child (cheek design only, May - Sept only)
Party Souvenirs (optional):
-- Please Select --
$3 baby plastic animal, pencil, postcard, and piece of hard candy
$5 small plush animal and piece of hard candy
$7 small plush animal, baby plastic animal, pencil, postcard, piece of hard candy
Number of party souvenirs:
-- Please Select --
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Additional Rides (optional):
Birthday Cake, Juice & Balloon Policy: *
Birthday cakes must come from a licensed bakery. It is against the health code to bring a cake to the Zoo from an unlicensed source. ($100 fine)
You may bring juice to the party. Balloons are not allowed to be brought into the Zoo.
Ice cream and spoons provided. Please bring plates and forks if you're serving cake.
-- Please Select --
I agree to follow the birthday cake, juice and balloon policies
Notes:
Please enter any additional information or requests.
