Birthday Party Form

Child's Name

Age Turning

Guardian First Name

Guardian Last Name

Guardian Email

Guardian Phone Number

Party Type

Please select which party theme you are interest in

Pool Party

Sports Party

Play Gym

Inflatable Party

Time

Please select your preferred time

Lunch Session

Afternoon Session

Preferred Date

Please provide two options

Est. Number of Guests

Package price does not change if you book less than the maximum number of guests. Additional guests can be purchased separately.

Additional Comments or Queries

I understand the terms and conditions of usage of the YMCA The Valleys Lifestyle Centre and take full responsibility for notifying all guests attending this private function of these conditions. I understand that the YMCA SA, The Valleys Lifestyle Centre, its officers, staff and agents will not be held responsible for any occurrence of injury to a person or property, and will not be accountable for loss or theft of personal property. I take full responsibility for any compensation which may be related to the activity that I am conducting.