Birthday Party Request Form

Story City Parks & Rec
Birthday Party Request Form

Let the Story City Rec Center make your youngster’s birthday special!

The $125 fee takes care of admission of your birthday group to the Rec Center gym for 2 hours and to play with our toys. It also takes care of reserving your own private room for the party. We will provide a sheet cake and ice cream to top off the day, so go ahead and get your child and 15 of their closest friends and enjoy the party.

You will need to provide any extras you want such as decorations and candles.

To schedule, please call Jenny at the Rec Center – 515-733-2458. Registration must be done 2 weeks in advance.

Child's Name(Required)

Parent Name(s)(Required)

Primary Phone(Required)

Secondary Phone

Email(Required)

Requested date of party(Required)
MM slash DD slash YYYY

Requested time of party(Required)

Child's Age(Required)

Number of kids attending party(Required)

Cake Flavor(Required)

White

Chocolate

Marble

Frosting(Required)

Whipped

Butter Cream

Color/Theme on Cake(Required)

Up to 3 colors

Message on Cake(Required)

Agreement:
An adult 18 years of age or older must be present at all time during the gym activities. The birthday party group is responsible for all damages incurred during the time they occupy the Semler Conference Room and gym, and will be charged an amount equal to the cost of repairs. Rules for the gym/walking track apply to all groups renting the gym and must be followed at all times. The Story City Community Recreation Center staff reserved the right to remove any individuals from the premises who refuse to comply with the rules. Refunds will not be given for individuals/groups that are asked to leave the facility.

By submitting this form, I, on behalf of all persons in my group using the gym, confirm that I have read and fully understand the rules and regulations set forth above. I understand that is it my responsibility to make clear the provisions stated above to all members of my group. We agree to accept any responsibility for any damages incurred during our time in the gym and do agree to follow the rules of the Story City Community Recreation Center.

By submitting this form, you have read and full understand the rules and regulations set forth above.(Required)
I agree

Your Name(Required)

Date of Request Submission(Required)
MM slash DD slash YYYY

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Birthday Party Request Form

Birthday Party Request Form

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