Birthday Party Request Form

Full Name*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Are you a Virginia Living Museum member?*

If a member, please enter name on member card

First Date Choice*

First Time Choice*

Second Date Choice*

Second Time Choice*

Party Package VLM member

Party Package non-member

Birthday Child Name*

Birthday Child Age*

Add-ons - Tours/Shows - $75

Tours are at 12pm & 3pm, shows are at 11:30am & 3:30pm

Ambassador Animal Encounter

Special Add Ons, Requests or Comments