Birthday Party General Flyer

Party Registration
Host Information
Child’s Name:_____________________________________Birth Year:________Gender:_____
Parent’s Name:_________________________________________________________________
Address:_______________________________________________________________________
City:____________________________State:___________________Zip: __________________
Home Phone #: _________________________ Work Phone #:________________________
Party Information
Party date
(reserved on phone):____________ __ Start of Field Time:_________ Start of Party Room Time:_____ _____
Sport Information
Fie ld Reserved
(circle one): Lo wer Field Upper Field Intermediate Field Court
Court Sports
(circle one): Basketball Volleyball Soccer Dodge Ball Other
Field Sports
(circle one): Soccer Dodge Ball Flag Football Kickball Other
Other Equipment Needed: ______________________________________________________________________________
Payment Information (required if full payment is not enclosed or if ordering pizzas)
Payment
(circle one): Visa Mastercard Discover
Credit Card Number:_____________________________ ___________________
Expiratio n Dat e:____________________ Amount
($40 minimum):___________
V-Code (last 3 digits on signature panel): ________________
Name on Card:____________________________________
Signature:______________________________________
We reserve the right to bill your credit card if full payment is not received at the end of the party.
Mail to: CISC, 515 Old Westminster Pike, Westminster, MD 21157.
For office use only:
Date: _______ _______ Payment: __________________ Initial:_______ __________ In Book: _________
Court Party Room Lower Field
Carroll
Indoor
Sports
Center
Come
Celebrate
With Us.
Party
Information
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Birthday Party General Flyer PDF

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