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 # * Amount $(fees start at 120.00) * USD 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+) WaiverPlease 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? * -Select- Carolina Parent Coffee House Doctor's office (OB/GYN, Peds) Event (Festival, Party, etc.) Friend/Word of Mouth Infuzion Mothers Club Other Store (Babies R Us, Peek-a-do) Verification Code (enter the characters you see in the above picture) View Error Details Powered by
