The Jungle Fun and Adventure

RESERVATION REQUEST
Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Email:
Child's Name:
Child's Birthday (mm/dd/yy):
Best Time to Call:
Party Information:
Jungle Location:
Choice #1:	Date:	Time:
Choice #2:	Date:	Time:
Party Type:
No. of Children:
Alternately, you may print this form and fax your request to the desired Jungle location. Concord Fax: (925) 687-4010 San Jose Fax: (408) 871-2273