Contact Details

First Name *

Last Name *

Phone *

Email *

Event Location

Address

Street Address

City

State

Postal code

Celebration Details

Event Date

Event Type

School
Church / Youth Group
Corporate Event
Festival
Other
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Which Option Would You Like?

Option 1

Option 2

Option 3

Build My Own

Service(s) Needed (select all that apply)

Game Truck

Laser Tag

Inflatables

Virtual Reality

Game Station

If Indoor Setup, is there ramp access?

N/A
yes
no
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IF indoors, are there double doors and can middle beam be removed?

N/A
yes
no
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Event Notes

How Many Hours Needed?

Name of the Event

Payment Method

Credit Card (all events)
Purchase Order (Schools & Gov't)
Checks (Schools & Churches)
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Is a W2 required?

Select option

Yes
No
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Is a Certificate of Insurance (COI) required?

Select option

Yes
No
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How did you hear about us?

Google Ad
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Word of Mouth
Repeat Customer
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GRHL
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