Birthday Party Application Form

Parent's Name *

First Last

Address *

Street Address City State ZIP Code

Home Number/ Cell Number *

Alternate Number

Email Address: *

Child's Name *

First Last

Child's Age at Birthday *

Type of Party *

Onsite at the Shelter (2hr)
Offsite at Home (1hr)

Our parties can be booked for:

Saturdays from 12:00-2:00 and 2:30-4:30
Sundays from 12:00-2:00 and 2:30-4:30

*Please note: we request 4 weeks’ notice prior to requested day*

Please choose a date and time:

1st Choice Date *

1st Choice Time *

12:00 PM
2:30 PM

1st Choice Time *

12:30 PM
2:30 PM

2nd Choice Date

2nd Choice Time

12:00 PM
2:30 PM

2nd Choice Time

12:30 PM
2:30 PM

Other Information

Number of Children Attending

Birthday child’s favorite type of animal at the shelter:

Dog, Cat, Rabbit, etc

Allergies or special requests?

Please specify where the Party Van should park for the duration of the party:

Please specify where the party activities will be held (include plans for inclement weather):

Give Us a Call:

Office Hours:

Adoption Hours by Appointment Only:

Birthday Party Application Form

Please choose a date and time:

Other Information

262-782-9261

262-782-3356

Elmbrookhs@ebhs.org