Parent's Name *

First Name

Last Name

Phone *

(###)

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Add On's *

Glow in the Dark Slime (adds 15 minutes, +$7/)

Edible Slime (adds 15 minutes, +$8/)

Fluffy Slime (adds 15 minutes, +$6/)

Glitter Tattoos (adds ~20-30 minutes, +$7/)

Magic Wiggly Twisty Worms (adds 15 minutes, $5/)

8 Magic Wands ($5/)

8 Unicorn Headbands ($5/)

No Add on's....yet

Date *

MM

DD

YYYY

Time *

Hour

Minute

Second

AM PM