Your Family Fun CenterJohn Wilcox's Mifflinburg Lanes
570-966-0932

party hatParty Sign Up Form

Please provide tentative information to sign up for your party at Mifflinburg Lanes.

Party dates are subject to lane availability. Upon receipt of your submission, we will contact you to verify the dates and details.

Parent/Guardian:
Phone:
Email:
Contact Me By:


   
Child's Name:
Child's Age: Child's Birthday:
Number of Guests Average Age of Guests:
Select a Package:

(1 game + shoe rental)
(2 games + shoe rental)

*Recommended for children 7 and under.
 
Feel free to ask questions or include any concerns or additional information we should consider when planning your child's party in the Notes area below.
Notes:
 

© 2005-2006 John Wilcox's Mifflinburg Lanes, 300 East Chestnut Street, Mifflinburg, PA 17844.
Phone: 570-966-0932 | Fax: 570-966-6122 | Email: nwilcox@mifflinburglanes.com
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