Pony Party Registration

Name of responsible adult- __________________________________________________________

Name and age of birthday child- ______________________________________________________ / Age- ______________

Phone number for adult- ____________________________________________________________

Date of party agreed upon with kelli- __________/__________/__________          Time of party (please circle one) -  11:00 - 2:00      or        3:00 - 6:00

Any special requests? ____________________________________________________________________________________________________

______________________________________________________________________________________________________________________

Method of deposit and amount (please circle one) -  Check    or    Venmo      If sending a check please be sure to make your check payable to Kelli Mroziak   

Name Venmo is under:_____________________    Amount-_________

                                                                      Would you like to add on a 2026 party shirt?  (please circle one)        YES    or     NO

                                                                      Youth sizes are $15.00 /  Adult sizes are $18.00 /  Plus sizes are $20       Size-_________________________

                                                                                                               Please mail this form to:             379 Mendon Road 

                                                                                        (This is also the stable                           Smithton, Pa. 15479

                                                                                        address for your invitations.)

This is a non refundable deposit. Once we receive this deposit your date and time will be reserved.  We will reach out to know to let you know we received this deposit when it arrives.   If you need to change you date and time of the party we are happy to apply this deposit to another date and time.

Balance of party is due before your party starts, the day of the party.   We ask that you bring cash on the day of to pay your balance. 

Signature of adult responsible for party - ________________________________________________________________________________