Reservation Form & Food Selection

Date:	12/6/2024
Name:
Email Address:
Telephone:
Name of Group or Event:
Address of Party:
Directions to Party:
Number of Guest Anticipated:
Guest List for Invitations will be completed by:
How did you find out about this website?
Time of Party:	Lunch – 11:00 AM – 2:00 PM Mid Afternoon – 2:00 – 5:00 PM Evening - 5:00 PM – 8:00 PM
Date of Party:	1st Choice:   2nd Choice:  3rd Choice:
On the date of the party, what is the best phone number to contact you?
Will the party be held "Rain or Shine"?	Yes No
Do you have a garden hose at the location?	Yes No
Do you have an electrical outlet at the location?	Yes No
Will there be children from 0-10 years old?	Yes No
Will there be children from 11-18 years old?	Yes No
Would you like a camera crew to film the party?	Yes No
Do you have 2 or more trash cans for county pick up?	Yes No
Will you be serving alcohol?	Yes No
Is there a restroom for guests at the location?	Yes No
I am interested in Discount Fiesta creating and sending invitations?	Yes No
Please select all of the following that you will need for the party:	Volley Ball Net Mobile Arcade - This is a covered trailer that holds video games. Horse Shoes Limousine Tables Chairs Portable Camp Fire Citronella Candles Tables Cloths Draft Beer CO2 Apparatus Coolers Umbrellas for Guests Trade Show Booth Oyster Knives & Gloves Portable Toilet Balloons Chaffing Dishes with Sterno Devices Cooking Utensils Pots & Pans Dance Floor Fans Trash Cans Ping-Pong Table Stereo System w/iPod Hookup TV Monitor Croquet Set Bocce Ball Set Bubble Machine Lanterns Margarita Machine First-Aid Kit Coffee Maker & Equipment Inflatable Couches Air Compressor Bar Portable Picket Fences Treasure Chest w/Prizes for Kids Popcorn Machine Snow Cone Machine Generator For Power Portable Air Conditioner Wash Cloths - Steamed in Crock Pot Pots For Cooking Blender - Pro Blender Rope Lighting Extension Cord Poker Table - Texas Hold'em Bar Stools Dolly to Move Equipment Oyster Table - Shucking Station Blackjack Table Satellite Dish and Monitor American Flag
Security:	Golf Cart 4 Wheeler Walkie Talkies Red Cones
Inflatables:	Gorilla Cash Machine Slide Hot Air Balloon - Mini Sponge Bob Inflatable
Live Entertainment:	Fireworks Magician Dunk Tank Live Music Disc Jockey Skeet Thrower Elvis Impersonator
Bar Setup:	Lemons Limes Ice Cherries Bitters Club Soda Tonic Water Coke Diet Coke Sprite Ginger Ale Napkins Straws Wine Opener Wine Glasses Highball Glasses Margarita Salt Coasters Olives Olive Juice Martini Supplies
Food & Menu Selection
Appetizers:	1)  Not Applicable Steamed Shrimp Steamed & Raw Oysters Smoked Sausage 2)  Not Applicable Steamed Shrimp Steamed & Raw Oysters Smoked Sausage 3)  Not Applicable Steamed Shrimp Steamed & Raw Oysters Smoked Sausage
Entrees:	1)  Not Applicable Smoked Chicken Smoked Ribs Hamburgers Hot Dogs Grilled Boneless Chicken Breast Steak Tenderloin Pork Chops Pork Tenderloin 2)  Not Applicable Smoked Chicken Smoked Ribs Hamburgers Hot Dogs Grilled Boneless Chicken Breast Steak Tenderloin Pork Chops Pork Tenderloin 3)  Not Applicable Smoked Chicken Smoked Ribs Hamburgers Hot Dogs Grilled Boneless Chicken Breast Steak Tenderloin Pork Chops Pork Tenderloin 4)  Not Applicable Smoked Chicken Smoked Ribs Hamburgers Hot Dogs Grilled Boneless Chicken Breast Steak Tenderloin Pork Chops Pork Tenderloin 5)  Not Applicable Smoked Chicken Smoked Ribs Hamburgers Hot Dogs Grilled Boneless Chicken Breast Steak Tenderloin Pork Chops Pork Tenderloin 6)  Not Applicable Smoked Chicken Smoked Ribs Hamburgers Hot Dogs Grilled Boneless Chicken Breast Steak Tenderloin Pork Chops Pork Tenderloin 7)  Not Applicable Smoked Chicken Smoked Ribs Hamburgers Hot Dogs Grilled Boneless Chicken Breast Steak Tenderloin Pork Chops Pork Tenderloin
Side Items:	1)  Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 2)  Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 3)  Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 4)  Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 5)  Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 6)  Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 7)  Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 8)  Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 9)  Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 10) Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 11) Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 12) Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese 13) Not Applicable Cole Slaw Baked Beans Black Eyed Peas Green Beans Collard Greens Dinner Rolls Potato Chips Doritos Cheetos French Fries Onion Rings Salad In A Bag Hamburger Buns Hot Dog Buns Macaroni & Cheese
Beverages:	1)  Not Applicable Iced Teas Water Coke Sprite Diet Coke Juice Boxes Coffee 2)  Not Applicable Iced Teas Water Coke Sprite Diet Coke Juice Boxes Coffee 3)  Not Applicable Iced Teas Water Coke Sprite Diet Coke Juice Boxes Coffee 4)  Not Applicable Iced Teas Water Coke Sprite Diet Coke Juice Boxes Coffee 5)  Not Applicable Iced Teas Water Coke Sprite Diet Coke Juice Boxes Coffee 6)  Not Applicable Iced Teas Water Coke Sprite Diet Coke Juice Boxes Coffee 7)  Not Applicable Iced Teas Water Coke Sprite Diet Coke Juice Boxes Coffee
Desserts:	1)  Not Applicable Chocolate Chip Cookies Oatmeal Raisin Cookies Pie – Depends On Bakery Ice Cream Pop Sicles S’Mores – Marshmellow and Graham Crackers 2)  Not Applicable Chocolate Chip Cookies Oatmeal Raisin Cookies Pie – Depends On Bakery Ice Cream Pop Sicles S’Mores – Marshmellow and Graham Crackers 3)  Not Applicable Chocolate Chip Cookies Oatmeal Raisin Cookies Pie – Depends On Bakery Ice Cream Pop Sicles S’Mores – Marshmellow and Graham Crackers 4)  Not Applicable Chocolate Chip Cookies Oatmeal Raisin Cookies Pie – Depends On Bakery Ice Cream Pop Sicles S’Mores – Marshmellow and Graham Crackers 5)  Not Applicable Chocolate Chip Cookies Oatmeal Raisin Cookies Pie – Depends On Bakery Ice Cream Pop Sicles S’Mores – Marshmellow and Graham Crackers 6)  Not Applicable Chocolate Chip Cookies Oatmeal Raisin Cookies Pie – Depends On Bakery Ice Cream Pop Sicles S’Mores – Marshmellow and Graham Crackers
Condiments:	1)  Not Applicable Plates Napkins Salad Dressing Ketchup Mustard Relish Pickles Cock Tail Sauce B-B-Q Sauce Texas Pete Salt & Pepper 2)  Not Applicable Plates Napkins Salad Dressing Ketchup Mustard Relish Pickles Cock Tail Sauce B-B-Q Sauce Texas Pete Salt & Pepper 3)  Not Applicable Plates Napkins Salad Dressing Ketchup Mustard Relish Pickles Cock Tail Sauce B-B-Q Sauce Texas Pete Salt & Pepper 4)  Not Applicable Plates Napkins Salad Dressing Ketchup Mustard Relish Pickles Cock Tail Sauce B-B-Q Sauce Texas Pete Salt & Pepper 5)  Not Applicable Plates Napkins Salad Dressing Ketchup Mustard Relish Pickles Cock Tail Sauce B-B-Q Sauce Texas Pete Salt & Pepper 6)  Not Applicable Plates Napkins Salad Dressing Ketchup Mustard Relish Pickles Cock Tail Sauce B-B-Q Sauce Texas Pete Salt & Pepper 7)  Not Applicable Plates Napkins Salad Dressing Ketchup Mustard Relish Pickles Cock Tail Sauce B-B-Q Sauce Texas Pete Salt & Pepper 8)  Not Applicable Plates Napkins Salad Dressing Ketchup Mustard Relish Pickles Cock Tail Sauce B-B-Q Sauce Texas Pete Salt & Pepper 9)  Not Applicable Plates Napkins Salad Dressing Ketchup Mustard Relish Pickles Cock Tail Sauce B-B-Q Sauce Texas Pete Salt & Pepper 10) Not Applicable Plates Napkins Salad Dressing Ketchup Mustard Relish Pickles Cock Tail Sauce B-B-Q Sauce Texas Pete Salt & Pepper 11) Not Applicable Plates Napkins Salad Dressing Ketchup Mustard Relish Pickles Cock Tail Sauce B-B-Q Sauce Texas Pete Salt & Pepper