MAIN CONTACT: __________________________ Party Package Fees HOME PHONE: ________ CELL PHONE:___________ Birthday Party Package: $185 EMAIL: _________________________________ Additional Kids: #Kids ___x $8 $___ ADDRESS: ________________________________ Treat Bags: #Kids ___ x $4 $___ BIRTHDAY CHILD: ____________ AGE: __________ Additional Pizzas #Pizzas x $10 $___ DATE REQUESTED: _________________________ Additional One Hour Activity: $60 $___ (MAY/AUGUST/SEPTEMBER -SATURDAY & SUNDAY __ Case of Water $6 $___ TIME: ____________ (BETWEEN 11AM-6PM) __ 12-Pack of Soda $8 $___ NUMBER ATTENDING: ______ __ 12-Pack of Juice Boxes $4 $___ Non-Residents: #NR x $5 $___ ONLY) Themed Birthday Pool Party Packages May-Sept CHOOSE A THEME! WET AND WILD _____ WATER CRAFTY KIDS ___ CLIMBING TO THE TOP ___ GAMES _____ Payment Information: Date: ____ ___ Grand Total: ____ ___ Credit Card: Visa MasterCard Discover Card Number: ______ - _____ - _____ - _____ CHOSE YOUR PARTY AREA! Exp Date: ____ CVV: ____ Billing Zip Code: ____ WATERPARK ___ _____________________ ______________ PLAYGROUND ___ BBQ AREA ___ CHOOSE YOUR PIZZA & DRINK! INDICATE HOW MANY OF EACH, 2 LARGE ONE-TOPPING ARE INCLUDED. EACH ADDITIONAL IS $10. PEPPRONI ___ SAUSAGE ___ CHEESE ___ SODA ___ JUICE BOXES ___ CHOOSE YOUR EXTRAS! TREAT BAGS ___ ADDITIONAL PIZZAS ___ ADDITIONAL KIDS ___ ADDITIONAL ACTIVITY ___ (PLEASE INDICATE WHICH ACTIVITY) ____________________ 1 CASE OF ____ 1 12-PACK SODA ___ 1 12-PACK JUICE BOX ___ WATER Signature Date I UNDERSTAND THAT THE USE OF THE ANTHEM COMMUNITY COUNCIL RECREATIONAL FACILITIES AND SERVICES (INCLUDING, BUT NOT LIMITED TO, THE ANTHEM COMMUNITY CENTER, WATER PARK AND COMMUNITY PARK) NATURALLY INVOLVES THE RISK OF INJURY. BY SIGNING THIS DOCUMENT AND/OR PARTICIPATING IN THE USE OF SUCH FACILITIES AND SERVICES, I UNDERSTAND AND VOLUNTARILY ACCEPT THE RISK AND AGREE THAT ANTHEM COMMUNITY COUNCIL, INC., ANTHEM PARKSIDE COMMUNITY ASSOCIATION INC., ANTHEM COUNTRY CLUB COMMUNITY ASSOCIATION INC., AAM LLC, THEIR SUBSIDIARY AND AFFILIATED ENTITIES AND ALL OF THEIR RESPECTIVE DIRECTORS, OFFICERS, PARTNERS, MEMBERS, MANAGERS, EMPLOYEES, AGENTS AND VOLUNTEERS WILL NOT BE LIABLE FOR ANY INJURY INCLUDING WITHOUT LIMITATION, PERSONAL, BODILY OR MENTAL, ECONOMIC LOSS OR ANY DAMAGE TO ME, ANY RELATIVE, OR GUEST RESULTING FROM NEGLIGENCE, OR OTHER ACTS OF ANYONE USING THE FACILITIES. IF THERE IS ANY CLAIM BY ANYONE BASED ON ANY INJURY, LOSS OR DAMAGE DESCRIBED HEREIN, WHICH INVOLVES ME OR MY GUESTS, I AGREE TO (1) DEFEND ANTHEM AGAINST SUCH CLAIMS AND PAY ANTHEM FOR ALL EXPENSES RELATING TO CLAIM AND (2) INDEMNIFY ANTHEM COMMUNITY COUNCIL FOR ALL LIABILITIES TO ME, MY SPOUSE, UNBORN CHILD, OR RELATIVES OR ANYONE ELSE RESULTING FROM SUCH CLAIMS. FURTHER, I REPRESENT THAT I AM IN GOOD PHYSICAL CONDITION AND HAVE NO MEDICAL REASON OR IMPAIRMENT THAT PREVENTS MY INTENDED USE OF ANTHEM’S FACILITIES AND SERVICES. FURTHER I AGREE TO ABIDE BY ALL RULES, REGULATIONS AND RESTRICTIONS POSTED AND COMMUNICATED BY ANTHEM. Anthem Community Center 41130 N. Freedom Way Anthem, AZ 85086 Office: 623-879-3027 E-mail: [email protected] Community Center Where convenience and community connect What’s Included Available Extras Themed Birthday Parties Themed Birthday Parties ADDITIONAL KIDS: $8 PER KID GENERAL BIRTHDAY TREAT BAG: $4 PER KID Crafty Kids EXTRA ONE HOUR PARTY ACTIVITY: One hour of craft making. $60 ADDITIONAL LARGE ONE TOPPING PIZZAS: $10 PER PIZZA NON-RESIDENT GUEST FEES: UP TO 12 KIDS ONE HOUR ACTIVITY AND ONE CASE OF WATER $6 PARTY HOST 12-PACK OF SODA $8 SET-UP & CLEAN UP 12-PACK JUICE BOX $4 2—LARGE ONE TOPPING PIZZAS JUICE BOXES OR SODA GENERAL THEMED BIRTHDAY PARTY The Fine Print Themed Birthday Parties PARTIES MUST BE BOOKED AT LEAST 14 DAYS IN ADVANCE AND NO MORE THAN 90 DAYS IN ADVANCE. A $50 CANCELLATION FEE APPLIES TO PARTIES. ANY AMOUNT REFUNDED DUE TO CANCELLATION WILL BE REFUNDED BACK TO THE COMMUNITY CENTER ACCOUNT. Climbing to the Top One hour of rockwall climbing. HOUR POOL AREA $5 PER PERSON (MAY-SEPTEMBER) Themes DECORATIONS GENERAL THEMED BIRTHDAY PARTY PAPER PRODUCTS Wet and Wild One hour of the diving boards. Water Games One hour of water themed games.
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