Birthday Information Request Form

Your Information

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

How would you like to be contacted?**

Phone Call

Email

Are you a current DuPage Children's Museum Member?**

Yes

No

Party Information

Name*

First

Age of Birthday Child(ren)*

Number of Adults*

Please enter a number from 1 to 59.

Number of Children*

Please enter a number from 1 to 59.

Requested Date*

Please Select an Alternate Date*

If requesting a Saturday or Sunday, which timeframe do you prefer?

Morning

Lunch

Afternoon

If requesting a weekday, what time do you prefer?

Additional Questions

Questions?

Tell us about your event (Max 500 Characters).

Party Reservation Request Form

Your Information

Party Information

Additional Questions

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