Birthday Blast Reservation Request Host Parent's Name Email address Cell number Birthday Child's Name Birthday Child's age Preferred Date (Sundays only) Number of guests attending (approximate)($175 for 15 children and $5 extra per child up to 20 children; $400 up to 35 children; plus cost of food) Birthday party location Bay Centre (Victoria)Nelson Street (Downtown Vancouver)Oak Street (Vancouver) Select a tablecloth colour YellowWhiteRedBluePinkPurple Do you want balloon animals? YesNo Do you want a Milkshake Cake ($2 per child)? YesNo Do you want a Milkshake Lab ($4 per child)? YesNo Bringing your own cake (if yes, please see requirements noted below)? YesNo FROM OUR BELOVED LAWYERS The Host Party Parent agrees to the following with JR Canada Restaurant Group Ltd. (JRC), who owns and operates the restaurant under the Johnny Rockets brand: A bakery purchased birthday cake can only enter the restaurant in its original and un-opened packaging with a “best before” date clearly noted on the packaging which is to be the date of the party or afterwards. Outside food permitted only for children with allergies, provided the child is accompanied by their parent or guardian. Party Fee must be paid in advance of the party starting and all food must be paid at the time of ordering at the party. All party bookings must be confirmed within one (1) week prior to the party or the party booking may be cancelled. The Host Parent must remain in the restaurant during the entire party and assumes full responsibility for the safety and welfare of all invited guests to the party and must remain in the restaurant until all party guests have been picked up by their parents or guardians. The Host Party Parent acknowledges JRC’s Allergy Statement: Menu items may contain or come into contact with WHEAT, EGGS, PEANUTS, TREE NUTS, and MILK and JRC cannot guarantee that any of its food or products are free from WHEAT, EGGS, PEANUTS, TREE NUTS, and MILK which can cause mild to sever allergic or anaphylaxis reactions in some cases. WHEAT, EGGS, PEANUTS, TREE NUTS, and MILK are present in the restaurant and cross contamination can be expected between products, even with food not containing such items in its ingredients. The Host Party Parent agrees to inform all the parents/guardians of invited Party Guests of JRC’s Allergy Statement. The Host Party Parent is responsible for the conduct of all invited Party Guests. JRC reserves the right to ask the Host Party Parent to remove any invited Party Guest(s) from the restaurant should JRC staff feel that the behaviour of any Party Guest(s) is dangerous, disrespectful or cause for concern for the health and safety of other Party Guests, JRC staff or other customers in the restaurant. By checking the box below you confirm that you have read and agree to the above terms. I, the Host Parent, agree to the terms stated above.