Form

Xtreme Cheer & Dance

1015 Commerce Street

Mitchell, SD 57301

605.770.8803

www.xtremecheerleading.net

Birthday Party Contract

*Your party is not confirmed until the deposit is received. Please return this form no later than 14 days prior to the scheduled party, or your space may be cancelled.

Choose from: Mini Package, Deluxe Package or Xtreme Package.

When choosing Xtreme Package, please fill out the Xtreme Package details found on the 3rd page in this packet.

Upload Xtreme Package details here.

Requested Date of Party *

- Month - Day Year

Party Time *

12pm - 2pm 3pm - 5pm Neither of these times work. I have listed what does work below. Neither of these times work. Can you contact me?

Type here which times would work for you.

Birthday Child's Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Age birthday child is turning *

Birthday child is: *

Girl Boy

Total # of children attending: *

* Extra children/adults $5 per person

* A Birthday Party Waiver must be signed by each family in attendance.

* When ordering the Xtreme Package, please make sure to upload the Xtreme Package details.

* It is extremely important that you show up at your scheduled party time ON TIME and remind your guests to do the same!

* All Parties include 1 adult supervisor from Xtreme Cheer & Dance Gym.

Parent's Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number

E-mail *

25% Deposit (Required) *

Mini Package (25% of $85) $ 21.25

Deluxe Package (25% of $125) $ 31.25

Xtreme Package (25% of $225) $ 56.25

Mini Package (Pay in Full) $ 85.00

Deluxe Package (Pay in Full) $ 125.00

Xtreme Package $ 225.00

*Extra Children/Adults $ 5.00

Quantity

Total $ 0.00

Another option to pay would be to enclose a check written to: Xtreme Cheer & Dance. Mail to: Xtreme Cheer & Dance, 3000 Canal Circle, Mitchell, SD 57301.