home
gallery
reservations
email
Extreme Makeover Home Edition
Name:
Street Address:
City: State: Zip:
Day Phone Number:
Evening Phone Number:
Name party will be under:
Basic Party Package
Deluxe Party Package
Special Event
Date of Party: Second Choice:
Start/End Time: Second Choice:
Number of Painters:
Guest of Honor:
Adult(s) in Attendance (for children's parties):
Upon submission of this form, you will be contacted by phone to confirm your reservation and gather additional information.