Siagel Dance Academy
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Birthday Party Inquiry Form


Date of Inquiry:  
Child's Name  
Parent's Name  
Parent's Email:  
Street Address:  
City:  
State:  
Zip:  
Home Phone:  
Work Phone:  
Cell Phone:  
E-mail Address:  
Date of Party:  
Time of Party:  

I have interest in the following add on and party favors:

Extra half hour = $90
Extra Instructor = $100
Extra children = $15 each
(Party allows for 20 children, extra children begin at 21st child.)
Glow show (white hats, gloves and black light show) = $100
1 Prize Pack (20 small prizes) = $63.00 + tax
Black Stage Platform = $25 each
Light up stage platform = $50 each
Party Favors for up to 24 children = $75 + tax
Customized Goodie Bags = starting at $8.00 each +tax
Glow necklaces (50 per tube)= $50+tax
Glow bracelets = $45 per tube +tax

Please remember to bring the following items:

o matches/lighter
o table clothes for two 6 foot tables
o plastic utensils
o all serving utensils
What are you serving at the party? Cake/IceCream, Pizza?:



Total Party Price = $300.00 (about 1 hour dance party/games contests?about 30 minutes of cake/ice cream etc)

Total due to secure date and time = $150.00


LET'S DANCE!
Siagel Dance Academy
Located right off Commonwealth Ave- 1 mile east of the Newton Marriot
94 Rowe Street, Newton, MA 02466
TEL- 617.614.5428 FAX- 617.965.2857
abigail@spevents.com