Birthday Reservations

Reserve Camp Celebration

* indicates required fields
Birthday Persons First Name:
Contact Information
* First Name:
* Last Name:
Address:
City
State:	Choose a State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory	* Zip:
Daytime phone #:
Evening phone #:
Cell phone #:
Best Time to call:	Daytime Evening Either
* E-mail address:
Would you like to receive our E-Newsletter? Yes No
* Date of Celebration:	MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day12345678910111213141516171819202122232425262728293031
* Approximate # attending:	Minimum paid admissions required 10 (Parties of 25 or more we suggest 2 cottages)
Time Requested:	Pick a time 10am - 1pm 1pm - 4pm 4pm - 7pm 7pm - 10pm
	I would like an additional time block or an additional cottage.
Optional Campfire with cottage ($40): Yes No
	Each party goer receives one jumping pillow pass with paid birthday party reservation
Additional items:	Cow Train Ride $2 each Party Pumpkin $3 each, pick your own from the party patch Jumping Pillow Pass $2 each Unlimited! Cow Train/Jumping Pillow wrist band $5 each
Catering options:	Miss Cindy’s Country Fixin’s $15 Grand Old Hot Dog Roast (for campfires only) $6 each On the Farm Pizza Party $35 Extra Pizza $25
Desserts:	Caramel Apples $3.99 Cider Donuts by the dozen $7.99 Pie $14.99
Drinks:	Waters, Juices, Soda $2.00 each Coffee Boxed $14.99 Hot Chocolate Boxed $14.99 Hot Cider $14.99
Yes No	I will be paying for the entire party & will bring a list of guests.
Yes No	Each guest will pay their own admission.
	Yes, I would like someone to contact me to answer my questions.
Thank you for your reservation, a deposit of $50 is required to secure your event site. You may send your deposit to Liberty Ridge Farm or pay by phone by calling us at 518-664-1515. A Liberty Ridge Farm Event Planner will contact you to confirm your reservation and catering order.