Rollonamerica.com, Lancaster, Massachusetts

Fun, Family & Friends
Roll On America Family Fun Center
**90 Duval Rd * Lancaster, MA * 01523 * Rte 2 @ Exit 34 * (978) 534-8303**

BIRTHDAY PARTY REQUEST FORM

Parent/Guardian's Name:
Address:
City:
State:
Zip:
Home Phone:
Daytime Phone:
Email:
Party for (name):
Date of Birth:
Age:
Number attending:
Please check all that apply: (Check boxes with mouse)	Sizzling Summer Party Power Play Party #1 For Party Fun IlluminationZ Party
My preferred party date:
My preferred party time:
Misc Information:
Your information will be forwarded to a Roll On America Party Planner, who will respond via email, and later call you at the daytime phone number you provided. Typical response time is within 24 hours. (Weekends and Holiday periods may take longer.) If you require a faster response, complete and submit your request, then call 978-537-4010 during our office hours and press "0." Your call will be answered by one of our staff who will be happy to connect you with a member of our Party Planning or Management Team. A $50.00 deposit must be paid to reserve your party. Deposits are non-refundable. Deposits may be transferred to another party date a minimum of ten days prior to the original party date, based on availability. Parties can be scheduled during most open skating times.