Child's Name:

Parent or Guardian's Name:

Desired Party Date : Child's Birth Date:

Address:

City: State: WA OR Zip:

Home Phone: Work : Cell:

Email Address:

Where would you like the party to take place? Musical Beginnings Studio
Home

Any Special Needs?

How did you find out about us?

------------------------------- Party Favor Selection - optional -------------------------

Egg Shakers - $2.25 eachQty:
One Bell Jingles - $2.50 eachQty:
Wooden Rhythm Sticks - $1.50 / pairQty:
Sand Blocks - $4.25 / pairQty:
Scarves - $3.25 eachQty:

------------------------------------- Payment Options ---------------------------------------

Payment Deposit of 50% is due upon submitting this reservation form; the balance will be due one week before the party date.

You will be able to pay the 50% deposit or in full by entering your credit card information using our secured server once you click the 'Submit' button. If you wish to pay using check, please submit your reservation using the printable reservation form.