PARTY TIME PALACE

723 W. Golf Rd.

Des Plaines, IL. 60016

(847)437-3100

(847)437-3108 – Fax

Group Agreement Form

Please initial by the desired package:

____ $6.99 per person - 10 Tokens, unlimited attraction wristband

____ $9.99 per person - 25 Tokens, unlimited attraction wristband, 1 Game of Laser Tag,

____ $12.99 per person - 25 Tokens, unlimited attraction wristband

1 Slice of Pizza, Drink with Free Refills

____ $17.99 per person - 35 Tokens, unlimited attraction wristbands, 1 Game of Laser Tag,

1 Slice of Pizza, Drink with Free Refills

• Minimum 20 persons.
• Must be booked in advance
• $50.00 deposit required at time of booking

By signing below, you and your staff agree to follow all guidelines. If these guidelines are not followed, you will be charged a $100.00 child sitting fee. The Party Time Palace staff is not responsible for supervising the children.

Camp Name: ____________________________________________

Camp Contact Name: _____________________________________

Date(s) of Visit: __________________________________________

Time(s) of Visit: _________________________________________

Address: ________________________________________________

City: ___________________ State: __________ Zip Code: ____________

Phone: _______________ Fax: _______________ Email Address: ________________________

How did you hear about us? ______________________________________________________________________________

Camp Directors Signature ______________________________ Date: ___________________