Galveston Health and Racquet Club


Child's Name*
Age*	(they are turning)
Gender*	- male - female
Parent's Name*
Address*
City*
State/Province*
Zip/Postal Code*
Home Phone*
Work Address*
Work Phone*
Email Address*
Number of Children*
Day & Time*
Birthday Packages*
Date of Party*
Will you be bringing a cake? GHRC does not provide one.	- yes - no


2 Hour Super Indoor Adventure Party Indoor Play structure, rock wall, video arcade & redemption center. Up to 20 Kids. Includes decorations and balloons, paper products, soft drinks and three large one-topping pizzas of your choice (24 slices). Also included is our own Party Coordinator. $299
Options	How many?	Price (each)
Additional Children (each)		$12.00
Additional Pizzas (each)		$14.00
200 Quarters ($50)		$30.00
Additional Hour		$100.00
Moonwalk Rental		$50.00
Game Bike Rental		$50.00


2 Hour Water Adventure Party Pool, Water Slide, video arcade & redemption center. Up to 20 Kids. Includes decorations and balloons, paper products, soft drinks and three large one-topping pizzas of your choice (24 slices). Also included are two Lifeguards and our own Party Coordinator. $349
Options	How many?	Price (each)
Additional Children (each)		$12.00
Additional Pizzas (each)		$14.00
200 Quarters ($50)		$30.00
Additional Hour		$125.00
Moonwalk Rental		$50.00
Game Bike Rental		$50.00


3 Hour Super Duper Adventure Party Pool, Water Slide, Moonwalk, Indoor Play Structure, Rock Wall, Video Arcade & Redemption Center. Up to 30 Kids. Includes decorations and balloons, paper products, soft drinks and three large one-topping pizzas of your choice (24 slices). Also included are two Lifeguards and our own Party Coordinator. $549
Options	How many?	Price (each)
Additional Children (each)		$15.00
Additional Pizzas (each)		$14.00
Additional Hour		$135.00
Game Bike Rental		$50.00

TOTAL+Tax:

It is understood that all parties are subject to availability. Submission of this form is an advance request and does not guarantee a reservation. Official reservation will be made upon receipt of a 50% deposit. Any changes to the date and time after booking must be approved by GHRC management.

NO REFUNDS, CHECKS NOT ACCEPTED!

Please be patient and wait for conformation page of your submission
(do not press "Register" twice)
All information will remain private and confidential