Birthday Party Request Form

Birthday Party
Request Form

for Midland, Michigan's RollArena

Fill in the form to contact us via email.
A phone callback will confirm the appointment.
For any questions call (989)496-2900

Parties are held during any session.
There is a minimum of ten people required, including the birthday child, and the cost is only $10.00 per person.
Look at what you get with our Fun-Time/ Birthday Roller Skating Party Plan:

Admission for the session
Regular Skate Rental (inline rental is 1/2 off)
A reserved decorated party table
A personalized Birthday Cake
Pepsi® brand Soft Drinks
Pizza is also available for purchase from Aunt Ann's Cafe'
Gift Coupons will be given to all the party participants
The Birthday Song is played and an announcement is made when the time comes to be seated for the party

We take care of all the clean up so you don't have to lift a finger!

All fields in pink must be entered.

Group Name:

# of people >= 10:

Birthday:

Address:

City:

Zip:

Contact Person:

Email Address:

Phone Type: Area Code + Phone
Home Phone: Cell Phone:

Party Date:

1st Drink:

Pizza ($13.50 each):

2nd Drink:

2 pitchers per 10 guests

Cake Choice
8 inch serves 8-10
10 inch serves 12-16
sheet cake serves 20-25
Add messages/decoration info in the comments box below

Pizza Toppings
(1st free, each other $1.50)

Toppings include: extra cheese, pepperoni, sausage, hamburger, onion, ham, bacon, mushrooms, green peppers, olives (black or green), or any other toppings you'd like by request

Comments/ Extra Requests:

validation code: 8ZRZP (All Caps Only)

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