Rental Request Form


Company/Organization :
First name :
Last name :
Street Address :
City :
State :
Zip/Postal code :
County event is held in :
Work Phone :
Home Phone :
Cell Phone :
Fax Number :
Email address :
Enter the start date of rental
Enter start time of rental :
Enter the end date of rental
Enter end time of rental :
Enter event description :
Comments? :
Bumper Boats	Yes No
4 Person Bungee Trampoline :	Yes No
Rock Wall/ Bungee Tramp Combo :	Yes No
Rock Climbing Wall :	Yes No
Ejection Bungee :	Yes No
Bazooka Ball Arena :	Yes No
Paintball Shooting Range :	Yes No
Walk on Water Balls ( 2 balls ) :	Yes No
Walk on Water Balls ( 4 Balls ) :	Yes No
Mini Tow Truck :	Yes No
Mini-Golf :	Yes No
Football Frenzy :	Yes No
Cannon Ball Blaster :	Yes No
Sumo Wrestling :	Yes No
Gladiator Joust :	Yes No
Bouncy Boxing :	Yes No
Bungee Run :	Yes No
Radar Soccer Kick :	Yes No
Radar Speed Pitch :	Yes No
Indy Car Obstacle Course :	Yes No
Jump Truck	Yes No
Circus Train :	Yes No
Sea Park :	Yes No
Pirate Ship :	Yes No
Pirate Moonwalk :	Yes No
Giant Slide :	Yes No
Fire Dog	Yes No
Tiger Moonwalk :	Yes No
Kettle Corn :	Yes No
Generator :	Yes No