Event Request Form

Event Request Form

Please complete and submit the following Request for Information so that we may personally attend to your group's specific needs. Fields marked * are required so that we may contact you.

 
First Name *
 
Last Name *
 
Email Address *
 
Company Name
 
Address
 
City
State  Zip 
 
Home Phone *
 
Cell Phone
 
Fax No:
 

What are your top three date choices for your event?
1st: *
 
2nd: *
 
3rd:
 
What is your desired time for your event? *
 
How many guests do you anticipate 9 years of age and older? *
 
How many guests between the ages of 4 to 8 years? *
 
What time of day or evening would you like for your event to start?  *
 
Do you plan to serve beer or wine? *
Yes
No
 
How many hours would you like for your event to run? *
4 hours
5 hours
6 hours
7 hours
8 hours
9 hours
10 hours
 
How did you hear about us? *
Prior picnic customer
Golf Range/Sports Park customer
Websites
Brochure
Coupon
Newspapers
TV AD
Movie Theater
Other
 
Simple Maths? + 4 = 12 *