NOTE: This form can be copied, completed and emailed or mailed with a check to reserve.  Or you can call 404 862 2228 to reserve.

Date Requested ___/___/__                    Time: _:__- __:__ (1 1/2 hrs, Saturdays & Sundays)

Complete this form and send to: reserve@greenkidparties.com             

Send Deposit: Full amount for up to 10 participants:

  : Send check to Bellatrix, Inc,
    PO Box 5928, Atlanta , GA 31107

                   OR
  : Pay via credit card using Paypal

EVENT DETAILS 

Host Name(s):       
Host eMail:             
Host Cellphone:         
Host Day Phone:          
Mailing Address:                   

TYPE OF EVENT:

____ Birthday (Age: ______ / Name: ______________________) 
____ Other (Please Describe: ____________________________)
____ # Invitees: Number of Invitees: 

TYPE OF Party:

Prices are for up to 10 participants, more people can be added for additional fees to be paid on the day of the event:

Bring Your Own! (Please check one below):

____ Tote Bags ( 1 1/2 hour, $245)
____ Tote Bags plus Face painting (2 hour party, $295)
____ Tote Bags plus Face painting plus farm time at The Hearth (3 hour party, $395)

____ Goody Bag Items: (Can be determined upon reservation)

TYPE OF Organic Food & Beverages Requested:

____ Food & juice boxes
____ Cupcakes
____ Organic Cakes
____ Other (please explain): ____________________________________________________

Any Special Needs (wheelchair access, dietary requests, etc):

_________________________________________________________________

How the deposit will be paid (check or paypal):
________________________________________________________________

Comments or questions :