Name Of Contact Person
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First Name
Last Name
Email
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Phone
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(###)
###
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Are You A Subscribed Member
NO
YES SPECTATOR PLAN
YES CHALLENGER PLAN
YES CHAMPION PLAN
Member Name
How Did You Hear Of Us
Yelp
Google
social media
word of mouth
I am a previous customer
Referred by a previous customer
Name Of Person(s)/Team Or Group We Are Celebrating. (ex, Birthday Person, Name Of Graduate, Name Of School Event, Name Of Community Event)
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What Is The Celebration/Occasion? (Ex. Birthday, Graduation, Sporting Event, Church Event, School Event, etc.) *
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Are There Any Specific Themes? (ex. Colors, Characters, Sportswear, Favorite Game, etc.) *
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Age Of Person(s) We Are Celebrating (ex. How Old Will The Birthday Boy/Girl Turn?) *
*
Average Age Of Participants *
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Approximate Number of Participants *
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Desired Booking Date *
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MM
DD
YYYY
Secondary Date Choice If First Is Not Available*
MM
DD
YYYY
Desired Start Time (Must Be 2 Hour Minimum) *
*
Desired End Time*
*
Is Your Desired Time Flexible? *
Yes
No
Please Choose Your Top 3 Favorite Video Games (Ex: Fortnite, NBA 2K, Madden, Roblox, UFC4, GTA, etc.) *
Are There Any Prohibited Video Game (Ex: No Mortal Kombat, No GTA, No Shooting Games, etc.)? Please List Restricted Games Or Write “None”
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Have You Submitted The $200 Minimum Deposit?
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Yes
I Will
Please Indicate Which Payment Method Was Used (Or Will Be Used) To Pay The Deposit.
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Please Select Any/All Additional Services You Wish To Add To Your Package (For Additional Fees)
A Member Of The Team Will Reach Out To Provide Prices For Selections
I Understand That full Payment Is Due Prior To The Start Of The Booking. No Refunds Will Be Issued For Last Minute Cancelations.
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YES
All Credit/Debit Card Payments Will Incur a 4% Processing Fee And Must Be PAID IN FULL No Later Than 3 Days Prior To Your Booking Date. To Avoid Fees, We Recommend You Use Other Payment Options Provided On Our Payment/Donation Page.
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I UNDERSTAND
PLEASE NOTE: Adult Supervision Is REQUIRED For Guests Requiring “Special Consideration” (e.g., Children Under The Age Of 7, Physical Limitations/Impairments, Use Of Assistive Devices, Special Needs, etc.)
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YES I ACKNOWLEDGE
Request For Changes To Be Made To Your Booking Within 48-Hours Prior To Booking Time Are NOT Guaranteed.
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YES I ACKNOWLEDGE
Same Day Booking Request Are Subject To Additional Fees
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I UNDERSTAND
Do You Have One Or More Of The Following Accounts: X (Formally Twitter) Or TikTok?
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YES
NO
We'd Like To Tag You On X (Formally Twitter) Or Tiktok When We Share Posts/Pictures From Your Booking, Please Provide Any Of Those Handles Below.
To Complete Your Booking Process, We Ask That You Please Be Sure To Follow Us On X (formerly Twitter) @GamingKayge Or TikTok @kayge_gaming Immediately After Form Submission
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I Understand
Name Of Person Completing This Form
*
