Kehler's Party Registration Form

Before filling out this form, you must first call 610-359-9999 to reserve a party time by phone and make a deposit with a credit card. Do not complete form until this is done. Deposits may also be done in person by check or cash.

I have carefully read all of the party information in the party flyer and additionally agree that:

I will carefully read  the confirmation letter which I will ask for when making my nonrefundable deposit. My guests and I will obey all the rules. The payment balance is due at the beginning of the party. KGC is not responsible for black outs or other unforeseen events which may interfere with my party. KGC reserves the right to change/close activities, when it deems necessary, with no change in price. KGC may cancel the party entirely, with no refund, should there be a failure of the customer or their guests to obey rules or instructions or if payment is not made immediately when requested. KGC may make changes in schedules or provide a refund and cancel party when there are KGC schedule conflicts. The customer is responsible for their belongings and those of their guests and will hold KGC Inc. and it's employees harmless for any personal or economic loss. It is the customer's responsibility to make sure that all their guests leave with the correct shoes. Access to the seating area is only provided for the last 30 mins. Prices & activities effective 1/01/08. Prices and activities subject to change without notice.

Insurance regulations require that no child participate without a completed and signed Party Permission Form (Included with your paperwork & available on line). I understand that it is my responsibility to see that all the parents of my guests receive a copy of the Party Permission Form (directions/notice of risk) and return that form the day of the party, signed and completed.

Must select ONE Package:

 Kids Fun Factory Party $99.99 deposit         Gymnastics Party $130 deposit
 Gym/Kids Fun Combo $130 deposit             Super Gym/KF Combo Party $170 deposit
 Rock & Roll $170 deposit                              Super Gym/Survivor Combo Party $170 deposit
 Rock/KF Factory $150 deposit                      TRIO: Survivor/Gym/KF Factory $170 deposit

Must select ONE Choice:

Optional $25 Carousel Bouncer Reservation $10 deposit  yes no

Carousel Bouncer: This activity must be an add on to an existing KGC party package and does not extend the length of the over all party. Subject to availability. Best when added to Kids Fun Factory Only or Gym/ KFF party Packages

Must select ONE Choice:

 Yes, Special Needs Child will attend so I will contact Mr. Kehler immediately. (310-359-9999)
 NO Special Needs.

Parents not permitted in the gym or rock/ Survivor Island areas. No exceptions please, therefore parents of Special Needs children are requested to call 30 days prior to event, and ask to speak to Mr. Kehler.

Must Complete EVERY Box:

*Child's Name:     *Child's Age:

*Street:

*Town:   *State: *ZIP: 

*Phone Day:      *Phone Night:

*Date of Party:  January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 2012     *Time:  9:00 A.M. 9:30 A.M. 10:00 A.M. 10:30 A.M. 11:00 A.M. 11:30 A.M. 12:00 P.M. 12:30 P.M. 1:00 P.M. 1:30 P.M. 2:00 P.M. 2:30 P.M. 3:00 P.M. 3:30 P.M. 4:00 P.M. 4:30 P.M. 5:00 P.M. 5:30 P.M. 6:00 P.M. 6:30 P.M.    

*Estimated number of children:     *Deposit Date:  January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 2012

*Amount of deposit: $  
 *Last FOUR ($) digits of Credit Card used for deposit when you called:   
(DO NOT list entire number!)

Message:

Parent's Electronic Signature:

Parent's Name:

As the parent booking this party I agree to be financially responsible for the cost of the party. I have carefully read all the party information in the Party Flyer and by clicking "I Agree", I show that I agree to all the terms listed above as well. If my contact information or address is different from that listed above I will include that information in the message box above.    

This form is sent to us through your e-mail. If your ISP prompts you to OK this e-mail process, please respond "yes" or "send" to send it. There is no immediate reply to clicking the "I Agree" button below, so clicking it more than once will just send us more copies of your same e-mail. We will respond to you via e-mail normally within about 48 hours. If you do not receive a response within that time, please call 610-359-9999 to check on your registration.