DYMA BIRTHDAY PARTY!

Participant Name *

Date of Birth (month/day/year) *

Address *

State *

Zip *

Phone Number *

Email *

Brambleton/Leesburg Location 3:30 pm

Taekwondo

Moon Bounce

Please check the box Purcellville Location only

Moon Bounce

Taekwondo (Saturday After 2:00 pm)

Rock Climbing

Basketball/Indoor Soccer/Indoor Games

2:30-4:00 pm (Purcellville) You may arrive at 2:00 pm to set up

3:30-5:00 pm (Brambleton) You may arrive at 3:00 pm to set up

Party Date * +

Approx. Number of Guests *

Pricing

Basic Package

Weekend (Friday, Saturday, Sunday): $295

Weekday (Monday-Thursday): $260

Basic Package:

Activity & Fun Group game + Taekwondo lesson

Cake ceremony + 20 invitation cards + Birthday person will receive a gift from DYMA

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

1. Please remind your guests to bring their socks for moon bounce, tennis shoes for rock climbing, and waiver (completed by a parent/guardian)

2. For the basic package, participants must bring birthday cake, drinks, paper goods, and other food related items.

3. The participant will agree to follow the guidelines and regulations of the school. Party will be canceled upon disruptive behavior.

4. Cancellation Policy: to avoid additional charges, we require at least 15 days of advance notice if you need to cancel or reschedule your party. If you cancel or reschedule your party within 14 days of your party date, you will be responsible for one-hundred (100%) of the total party price.

Guardian Signature *

clear

Customer Agreement *

Yes, I approve of application fee and services

DYMA BIRTHDAY PARTY!

2:30-4:00 pm (Purcellville) *You may arrive at 2:00 pm to set up*

3:30-5:00 pm (Brambleton) *You may arrive at 3:00 pm to set up*

Pricing

2:30-4:00 pm (Purcellville) You may arrive at 2:00 pm to set up

3:30-5:00 pm (Brambleton) You may arrive at 3:00 pm to set up