Broadway Bound Dance Center

Please print, fill out form and mail to:

Broadway Bound Dance Center, 17 Willow St., Natick MA 01760

Birthday Form

Parent’s Name:

Child’s Name:

Birthday Age:

Address:

City: State: Zip:

Phone: (Home) (Cell)

Party Choices (Please list at least two choices)

1. Date: _____________________ Time: ________________

2. Date: _____________________ Time: ________________

3. Date: _____________________ Time: ________________

Please Check:

Member (1.5 hours @ $175.00) _____

Non-member (1.5 hours @185.00) _____

(2 hours – add an additional $30.00) _____

Estimated number of guests: ________________________

Party Theme: ___________________________________

Total Enclosed: $ __________

*Don't forget to print your checklist of items you'll need to bring.