Zoho Creator- Birthday and Event Booking

Birthday and Event Booking

Contact Information

Parent's name *

Child's name *

Child's date of birth * [MM-dd-yyyy]

Street address *

City *

State *

Zip *

Home number
(9991234567) *

Mobile number
(9991234567)

Email *

Party/Event Information

Type of Party
(i.e., 3rd birthday,
cinco de mayo) *

Expected #
participants *

Date of Event * [MM-dd-yyyy]

Time of Event *

Address *

City *

Zip *

Other information

Payment Fees vary depending on location. Please contact susanar@salsababies.com for an exact quote.

Please remit payment payable to:

Susana Ramsey
6025 Garrett Rd
Durham NC 27707

Bank Name (ie SunTrust) *

Check # *

Fee $ *
$105 --Salsa Babies (baby carrier required)
$120--Salsa Tots (1-5 years)
$100--Salsa Kids (6-10 years)

Gas Surchage $
(not to exceed
$20, amt. TBD
upon booking) USD

Favors Enrich your party experience and add maracas as party favors. Please indicate quantity below.

# Egg maracas
($5 per pair, ages 3+)

# Gripper maracas
($5 each, ages 0+)

Waiver
Please read the waiver link and check the box below to agree to the terms and conditions of the waiver.

I have read, understood and agree to the terms and conditions stated in the waiver above *

Referral

How did you hear about Salsa Babies/Tots/Kids? *

Verification Code

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