Birthday Party Form - MGenius Academy

Submit Your Birthday Party Request Form

Student Information

*Email Address
*Student's full name
*Date of birth
*Current Grade Level
*Parent contact phone number(s)
*Chronic health conditions
*Allergies
*Preferred time
*How did you hear about us?

Party Details

*Party Package

*Guest Count (up to 20)

I agree MGA Policies - See Liability Waiver & General Provision* Yes, I agree. No

I agree Constent For Student Photo Release * Yes, I agree. No