Facility Reservation Request Form

Name*

Email*

Cell Phone *( ) -

Home Phone( ) -

Address*

,

Date Requested (Up to 2 months in advance)*

Monday, Tuesday, Thursday, & Friday Timeslots*

Choose N/A if your request is for Saturday

Saturday Timeslots*

Choose N/A if your request is for a weekday

Available Party Areas*

Preschool Play Zone ($60) (Downstairs) Suggested age - Under 5

Children's Play Zone ($70) (Upstairs) Suggested age - 5-12

Arcade & Loft ($80)

Gathering Place ($60)

Gym + Front Seating Area ($60)

Full Facility Rental ($200)

Add-On Options (Discount Packages Available)

Inflatable Obstacle Course (Call for pricing)

Bounce House Combo (Call for pricing)

What will the requested area be used for?*

Birthday Party

Baby Shower

Team Party

Other

If 'Other', please specify here:

Are you a Paramount member?*

Yes

No

If not, where do you attend, if anywhere?

Additional Comments/Questions:

Please leave this field blank.