| First Name: * |
|
| Last Name: * |
|
| Organization: |
|
| Address: * |
|
| City: * |
|
| State: * |
|
| Zip Code: * |
|
| Phone Number: * |
|
| Email: * |
|
Event Selection
|
|
| Event Location: * |
|
Type of Event:
|
Indoor EventOutdoor Event |
| Event Date: * |
|
| Event Time: * |
|
|
|
| Surface: |
GrassConcreteAsphalt (parking lot)Indoors |
|
Electric within
50 feet?
|
Yes, there's power
No, I need a generator ($95 for each moon bounce)
|
Moon Bounce Selection
|
Please choose two different bounces. We will contact you and let you know which are available if any are available.
|
| 1st Choice: * |
|
| 2nd Choice: * |
|
Concessions
|
|
| 1st Choice: |
|
| 2nd Choice: |
|
Game Selection
|
|
| 1st Choice: |
|
| 2nd Choice: |
|
Would you like additional time with the equipment?
|
YesNo
Not Sure Yet |
| If yes, how much time?: |
|
|
Please call to confirm TLC has received this form!
This is not a reservation, only a request for availability!
Allow 24 hours for submission
|
| |