Birthday Party Request Form

Contact Information
Parent's Name*
First Last
Phone Number*
Email*
Enter Email Confirm Email
Address of Birthday Party*
Street Address Address Line 2 City Province Postal Code
Party Details
Preferred Date:
MM slash DD slash YYYY
Preferred Time:

: Hours

Minutes

AM/PM
Child's Name
First Last
Child's Actual Birthday:*
MM slash DD slash YYYY
Age that child is turning:*
Child's Lab Coat Size:*
FIT GUIDE: Shoulder to Shoulder: Small (11'); Medium (12'); Large (14'); Shoulder to Bottom Hem: Small (22'); Medium (22.5'); Large (26.5'); Sleeve Length: Small (15'); Medium (17'); Large (18.5'); Bottom Hem: Small (16.5'); Medium (18.5'); Large (20.5').
Number of children attending (including celebrant):*
Party Package
Party Theme:
- Medical Doctor in Training Birthday Package
- Veterinarian in Training Birthday Package
Upgrades and add-ons:*
- Stethoscope ($12 each)
- Little Medical School T-shirts ($10 each)
- Plush puppy ($10 each)
- Plush kitten ($10 each)
Birthday celebrant receieves a special Little Medical School Kit (premium fabric lab coat and hat and stethoscope). Guests will receive a lightweight lab coat and special Little Medical School gift bag.
Additional Requests and Comments
Preferred Method of Payment:
- E-transfer
- Credit Card (+3% handling charge)
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Contact Information