Shipwreck Birthday Party Reservation Form
$50 nonrefundable deposit needed to reserve the date
Reservations cannot be made by phone. Deposit subtracted from final bill.
$130 plus tax for 10 guests plus 2 parents ( # includes B-Day child)
Food and drink, activity, return passes for guests,
glow necklaces for golfers, gift for b-day child
Extra children $15 each. Each extra adult guest $5. To keep party enjoyable for all guests 25 max room total.
Name _______________________________________ Date _________
Time __________
e-mail address ______________________________ Phone/cell #_________________
Childs name______________________ Child's age _______ Date ________ Time_______
INCLUDES EXTRAS
_____Room rental 1 hour 50 minutes 
____ each extra child $15
10 children, 2 adults 



_____ each extra adult (no golf) $5
Max 25 total 
_____ extra adult w/golf $10
_____ bounce or golf






_____ bounce and golf $5 each
50 minutes







Second activity after party.
_____Hostess, set up, clean up, gratuity not included
_____1 slice pizza






_____ 2 slices $10 per pizza
Chips or goldfish





_____ Chicken nuggets (4) $1
_____ 1 Soda or juice box



_____ Extra soda $4 per pitcher






_____ second juice box $.50 each
_____ ice cream






_____ sundaes $.50 each
_____ 4 balloons






_____ 1 per child $1.25 each (6 extra)
_____ bring your own goody bags ______Goody bags $2.25 each


_____Tableware






_____ Dora , Hello Kitty , Thomas, Toy Story




Pirate, Sponge Bob, Princess, Sports, Car
____ bring own cake






_____our cake 10-15 guest $27.00











_____15 - 25 guests $40.00 














______ Late booking












____within 7 days of party $20
_________Basic + extras
_________Gratuity 







______ total of extras
_________tax
_________Approximate total
Shipwreck Golf wants to make your party special.
To achieve this goal we would request you understand and abide the following.
Please check each upon reading the information.
___All activities will start within 10 minutes of start time even if guests are late. All parties
are scheduled for 1:50 hours. Bounce or golf take between 45 minutes and 1 hour. If your guests rush through golf your party will only last about an hour. Entertaining them will be hard for you.
___Please advise your guests to come about 10 minutes prior to the end of your party
to pick up children as we book parties back to back and need time to clean between
parties.
___All children and adults must follow the rules as laid out by Shipwreck Golf and
its employees.
___All guests must stay be in party room when not participating in the activity.
Guests cannot block the hall as that is the business area not the party area. Please
remind your guests the boundries of the party area when they arrive. Please help us
keep your guests in the party room so the fire lane in the hall is not blocked.
____ $50 charge for going over the max number allowed in the room. No exceptions.
___$50 is nonrefundable. Parties will be rescheduled if the county declares a state of
emergency due to a snow storm.
___Please inform guests that siblings are not invited so you have no added charges.
____Balance paid by cash or credit card. Checks will not be accepted for payment.
Our goal is to give you the best possible birthday party experience.
Thank you choosing Shipwreck and for working with us to make this happen.
SIGNATURE ________________________________________________