Highlands Golf Park
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434-985-2765
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Birthday Party Request Form
Please complete all required fields!
Name of Birthday Boy/Girl
*
Please let us know the name of the birthday boy or girl.
Contact Person
*
Please tell us the first & last name of the contact person.
Contact Phone
*
Please tell us your phone number (123-456-7890).
Contact Email
*
Please let us know your email address.
Party Date/Time
*
Please tell us the date and time of your party. (allowed 2 hours)
Type of Party
*
Mini Golf
Driving Range
Combo
Please select the type of birthday party activities you would like.
Number of Persons Expected for Party
*
Please enter the expected number of guests.
Age Range of Guests
*
Please tell us the age range of persons attending the party.
The party fee includes the use of our indoor meeting room (heated and/or air conditioned). The party room can accommodate up to 16 people. There is an additional fee for use of the patio (outdoor covered/sheltered section) with 4 picnic tables.
Additional Space Needed
*
Yes, I'd like to use the Outdoor Patio.
No.
Do you need any additional space? Recommended for parties larger than 16 persons.
Any Additional Requests?
Please list any additional requests here.
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