Pony Party Registration

Name of responsible adult- __________________________________________________________

Name and age of birthday child- ______________________________________________________ / Age- ______________

Phone number for adult- ____________________________________________________________

Date of party agreed upon with kelli- __________/__________/__________          Time of party (please circle one) -  11:00 - 2:00      or        3:00 - 6:00

Any special requests? ____________________________________________________________________________________________________

______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

Please mail this form along with your check made payable to Kelli Mroziak. 

Address is:         379 Mendon Road 

                           Smithton, PA 15479

(This is also the stable address for your invitations.)

This is a non refundable deposit. Once we receive this deposit your date and time will be reserved.  We will reach out to know to let you know we received this deposit when it arrives. 

If you need to change you date and time of the party we are happy to apply this deposit to another date and time.

Balance of party is due before your party starts, the day of the party.   We ask that you bring cash only on the day of to pay your balance. 

Signature of adult responsible for party - ________________________________________________________________________________