Baker's Dozen Academy LLC

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Birthday Party Package - Registration form

Date: _____________
 

Time: _____________

 

Location: __________________________________________________________

 

Birthday Customized Dessert Option 1: ___________________________________

 

Details of Dessert selection: ____________________________________________

 

Birthday Customized Dessert Option 2: ___________________________________

 

Details of Dessert selection: ____________________________________________

 

Name of Guest of honor: ______________________________________________

 

Number of birthday guests: (minimum of 10 guests)___________________________

 

Personal information: Address: __________________________________________

 

Phone Number (s): _______________________   Email__________________________________

 

Emergency contact number: ________________________________________

 

Are there any medical conditions that we should be aware of? _______________________________

 

Receipt of your payment constitutes agreement to the terms of the registration and waiver form.

 

Total amount due: $_______________

 

Deposit of $100.00 required (non-refundable)  Check# ______________  Date _______________


Amount due at party: $___________________


Please notify Baker's Dozen Academy of number of guests 1 week prior to event.

If paying by check, make check payable to: Baker's Dozen Academy and mail in with this form

Mail this form to:

Baker's Dozen Academy

715 North Gross St.

Conway, PA 15027

Any questions? E-MAIL us at: info@bakersdozenacademy.com or call us: Deb (724) 272-6242 or  Teri (412) 671-3396