Your Name:

Address:

City: State: Zip:

Your E-Mail Address:

Home Telephone:

Work Telephone:

Child's Name:

Child's Birth Date (including year):

Party Package: Classic Party ($14.95/child) Deluxe Party ($19.95/child) Ultimate Party ($24.95/child) Best Ever Party ($29.95/child)
Learn about our packages by clicking here.

Cake Preference: Chocolate Vanilla Ice Cream Cups

Are you interested in learning more about catered food choices? Yes No

Are you interested in reserving the private party room ($49.99)? Yes No

Party Date:

Please Note: Online reservations must be made at least 7 days in advance. To schedule a party on shorter notice, simply visit our location or call us at (518) 452-0192.

Party Time: 10 A.M. 11 A.M. Noon 1 P.M. 2 P.M. 3 P.M. 4 P.M. 5 P.M. 6 P.M. 7 P.M.

Note: If you would like to request a time that is not listed above, choose the closest time and mention your special request in the box at the end of this form.

Number of Guests:

Special Requests or Comments:

Jeepers! requires a $50.00 deposit to reserve your party. How would you like to make this payment?
Pay In-Store or by Telephone Pay Online

Finally, please type the word shown in the image below into the space next to it.