Pole Parties Booking Form

Personal Information

First name

Last name

Email

Phone

When would you be hosting your party

Year

Month

Day

Time

:HoursMinutes

Where would you be hosting your party

If you chose other location, please specify.

No. of participants

Add-ons (+$5 per participant)

A Deposit is required to block a date and time. It will be adjusted with the final payment.

Deposit$100

First name*

Email*

I want to subscribe to your mailing list.

Tel: 226-260-5024

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