Private Game Package Request Form

Each game will hold 2-36 players. All packages are for Laser Tag only – No Food – No Party Room

***No Food or Beverages may be brought into the building at any time***

Each 30 Minute Laser Tag Experience Includes: 5 Minute Briefing, 5 Minute Vesting, 15 Minute Live Action Laser Tag Game, 5 Minute De-Vesting & Scores

Dates and times are dependant on availability. We will contact you for additional times if chosen times are not available. If you would like to check a time before making this reservation, please email privategames@q-zar.com.
Special events may be setup during non store hours for 3 private games or more. Please email privategames@q-zar.com to see if a special time and date is available.

Choose an Event Date
Choice #1: * +

Choose an Event Date
Choice #2: +

Choose an Event Date
Choice #3: +

Name of Group or Guest of Honor *

Average Age of Players *

Number of Players *

First Name *

Last Name *

Street Address *

City *

Zip Code *

Phone Number *

Email Address *

How Did You Hear About Us?:

Additional Add-Ons: These items can be added or removed at any time

Printed Scorecards = $10 per game

$10 FunCard + $2 Bonus

$75 FunCard + $25 Bonus

Q-ZAR Lanyard - $5 each

$20 FunCard + $5 Bonus

$100 FunCard + $50 Bonus

Additional Q-ZAR T-Shirts - $12 each

$50 FunCard + $15 Bonus

Goody Bags - $2 each

Your Spot Will Not Be Held Until Your Payment Has Been Made. Once your payment has been made, you may not change or cancel your package. You may only change your date and time. Refunds will not be given under any circumstance. Yes, I Understand (Must Initial) *

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Payment Type: Credit Card For Secure Online Payment or payment over the phone
Credit card billing address and 3 or 4 digit code on card must match the home address and driverse license of the reservation holder.
No P.O. Boxes accepted. No Discover accepted. *

Visa

MasterCard

American Express

Credit Card Over Phone - Spot will not be held until payment has been made

Credit Card Payment: Your Spot Will Not Be Held Until Your Payment Has Been Made. Once your payment has been made, you may only change your day or time. You may not cancel or change your package or you will forfeit your deposit. No Discover accepted *

	Secure Form
Card Holders Name:	Secure Form
Credit Card Number:	Secure Form
Expiration Date (mm/yy):	Secure Form
3 Digit / 4 Digit CVV Code:	Secure Form
Billing Street Address:	Secure Form
Billing City:	Secure Form
Billing State:	Secure Form
Billing Zip Code:	Secure Form

Any Special Questions or Requests?

Cash, Visa, MC, Am Ex accepted with cardholders valid matching drivers license. Prices subject to change without notice. Non-Refundable payment in full is required to make a reservation. Once payment has been made, you may only change your day or time, you may not change your package. Payment is forfeited if reservation is canceled or not fulfilled. For any questions on Q-ZAR's Private Game Packages, please call 925.364.4386.

Thank You for choosing Q-ZAR Laser Tag.