School Name:       Group Name:

Chairperson or Chairpersons:      

Daytime Contact Phone:   Home Phone:

Fax Number:   E-Mail Address:

Billing Address:    

City:    State:   Zip:

Event Address (If Different): 

Event Date:     Number of Children in your school: 

Ticket Sale Price:  Do you Plan to pre-sell Tickets?

Site Contact Person:    Home Phone #:

President's Name:  Home Phone #:

Treasurer's Name:  Home Phone #:

ORDER

10 Games, 10 Booths and 200 Prize Pack Event - Cost:   

10 Games, 10 Booths and 1,100 Prize Redemption Center Event - Cost:   

Quote Received from:   NICOLE LUANN RONDA DEANNA PEGGY TAMMY KIM ANDREA NATHAN

SELECT THE 10 GAMES YOU WISH TO HAVE
ALL GAMES ARE PROVIDED ON A FIRST COME FIRST SERVE BASIS

1.2.3. Red Light                          5 PIN BOWLING                   7-11 GAME                                                  

A-MAZ-O GAME                      BALL BINGO                         BASEBALL TOSS GAME       

BASKETBALL TOSS GAME  BEAN BAG GAME                 CREATURE CRUNCH

DUCK POND GAME               FOOTBALL TOSS GAME       HORSE SHOES

KOOL POOL GAME                POP-A-PIMPLE                       POTTY TOSS  GAME

RAPTOR'S NEST                     TIC TAC TOE GAME              SABER SNEEK GOLF GAME 

TRUNK TOSS

TERMS & CONDITIONS

FOR KIDS' KARNIVAL™ PROGRAM . . .

We, the above named group, understand that the company, upon written acceptance of this agreement agrees to supply our group with the following:

• Provide Prize Packs ordered and have an additional case Prize Packs available for the group to purchase in the event more participants show up to the event than planned.

• Provide Games ordered and confirmed by the company.

• Deliver items ordered to event site.

We, the above named group, agree to the following:

• To pay for all charges the day of the event.

• To provide tables for all table games.

• To have at least one adult available to man each game at all times.

• To hold our event indoors to prevent damage to equipment.

• To pay 100% of the replacement cost of any equipment damaged by event participants.

• To pay a $500.00 cancellation fee should we cancel this agreement within 60 days of the date of our event.

Agreement of Services
Please type your full name in the box below.   By typing your name, submitting this form to Kids' Korner Gift Shoppes®, and using our services your are agreeing to the Terms & Conditions set forth above.

Name of Individual Placing this Order.