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Birthday Party Request Form

  1. Party Packages (choose one)*

  2. Available Themes (choose one)*

  3. All parties include one hour of activity and one hour in the party room. Activities include admission to the indoor playground, swimming pool, or climbing wall, for up to 10 children (please note, the hour of activity is not exclusive use). An additional fee will be charged for each additional child. The Center will provide a quarter sheet cake in your choice of two flavors, candles, juice, plates, tablecloths, napkins, and silverware. Our staff will set up, decorate, and clean up.

  4. Cake Choice (choose one)*

  5. Icing Choice (choose one)*

  6. if interested, include: # of pizzas and type of topping

  7. (MM/DD/YY)

  8. Note: The time checked/marked is the time you will be in the Party Room. Swimming and climbing parties must coincide with open swim/climb times.

  9. CLIMBING PARTY: There is limited availability for Climbing Wall parties and climbing parties are limited to twelve (12) participants max. Climbing will follow room time.

  10. INDOOR PLAYGROUND PARTY: The Mini Miners indoor playground will be available to the public during your party time, you do not have exclusive use of this area. This party option is available only to children 10 years of age and younger.

  11. SWIMMING PARTY: Swimming will take place the hour prior to the room rental time. For swimming parties the parent-child ratio must be as follows: 1 adult in the water for every 5 children under 6 years old, 1 adult in the water for every 10 children ages 6 and above, 1 adult in the water for every 2 children wearing any type of flotation device.

  12. Payment Options

  13. By signing, you agree and acknowledge that you have read and fully understand all items in the Rental of Community Rooms Policy.

  14. By signing, you agree and acknowledge that you have read and understand all items in the Facility Rental Guidelines.

  15. If my application is approved, I agree to the following:

    All persons to whom permits have been granted must agree in writing to hold the town, its employees and agents harmless, and indemnify same from any and all liability for injury to persons or property occurring as a result of the activity sponsored by permittee and said person shall be liable to the town for any and all damage to parks, recreation facilities and equipment owned by same, which results from or during the activity of permittee or is caused by participant in said activity. (Ord. 14-2005, 1-12-2005) All persons agree to comply with the Town of Erie Municipal Code and all Parks and Recreation regulations.

  16. By signing, you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.

  17. Birthday Party Refund Cancellation Policy

    - If party is cancelled less than 7 days before party, a 50% refund will be given - If party is rescheduled less than 7 days before party, a $20.00 cake fee will be charge

  18. By signing, you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.

  19. Leave This Blank:

  20. This field is not part of the form submission.