Chiles Family Orchards
4238625-314325-266700-381000Birthday Party Reservation FormCarter Mountain OrchardCharlottesville, VA434-977-1833 434-979-0341 Fax00Birthday Party Reservation FormCarter Mountain OrchardCharlottesville, VA434-977-1833 434-979-0341 Fax(Requested Time)Date of Visit_____________________ 10:00A-12:00P 12:00P – 2:00P 3:00P – 5:00P(We regret we cannot take reservations for October weekends) Name of Family____________________________________________________________________________________Mailing Address ____________________________________________________________________________________ City_________________________________________ State_________________ Zip________________Contact Name_____________________________________________________________________________________Phone Numbers (_________)_______________________ Wk/Hm (_________)______________________CellEmail_____________________________________________________________________________________________Name and age of Birthday Child____________________________ T-shirt Shirt Size _______________341947559690Birthday Package Includes:Birthday Tower of Donuts with candles!Party Tablecloths/Plates/Utensils/NapkinsDrinks (Cider, H20, or lemonade)Group Hayride around the orchard Bag for each child to Pick Your Own Peaches or Apples (seasonal) Party Games/Activities as time permitsGift for the Birthday ChildFilled Goodie Bags for take home gifts00Birthday Package Includes:Birthday Tower of Donuts with candles!Party Tablecloths/Plates/Utensils/NapkinsDrinks (Cider, H20, or lemonade)Group Hayride around the orchard Bag for each child to Pick Your Own Peaches or Apples (seasonal) Party Games/Activities as time permitsGift for the Birthday ChildFilled Goodie Bags for take home gifts # Children___________________#Adults_____________________ (needed for table reservation)Extra Hayride Tix? _____________ Total # ____________________ -762008255PRICES$200 for up to 10 children, $10 per child for additional for basic party2 adults complimentary hayride, $2 for each additional adult00PRICES$200 for up to 10 children, $10 per child for additional for basic party2 adults complimentary hayride, $2 for each additional adult-1619251185545--------------------------------------------------- Carter Mountain Use Only------------------------------------------------------------------Entered on Calendar by___________ E-mail Confirmation 1st __________ Final ___________ Evaluation ___________# of Children ___________ # Adults –Hayride only ($2 )_____________ TOTAL COUNT_____________ Party Host Assigned:___________________________ # gallons of cider used______00--------------------------------------------------- Carter Mountain Use Only------------------------------------------------------------------Entered on Calendar by___________ E-mail Confirmation 1st __________ Final ___________ Evaluation ___________# of Children ___________ # Adults –Hayride only ($2 )_____________ TOTAL COUNT_____________ Party Host Assigned:___________________________ # gallons of cider used______ ................
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