Birthday Genie would love to host your child's next birthday party or special occasion! Please fill out the following form to make a reservation. Name: Street Address: City: Zip Code: Phone: Email Address: Name of Birthday Child: Age on Birthday: Select One 4 5 6 7 8 9 10 Month of the Party: Select One January February March April May June July August September October November December Not Sure Date of the Party: Select One 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 Theme: Select One Princess Fairy Glamour Diva Teddy & Me Victorian Tea Spa Mermaids Chef School Pirate Rental ScareDare Rental Secret Agent Rental Total Number of Children: Select One 8 or under 9 10 11 12 13 14 How did you hear about us: Additional Comments: Photos of guests in costume: Birthday cake: Upgrade Craft- Build a Friend: