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v2.12

 

 

 

 

 

Make A Reservation

*NO*  Walk-INs Reservations By Appointment Only
Same day Appointments Please contact us BEFORE you fill this out
You MUST BE at least 18years old to fill out this form.
Please read our FAQ and if anyone is under 18 in your party you must Contact Us BEFORE you fill this out.

Groupon Hours
Monday - 10:00AM to 4:00PM by Appointment Only
Tuesday - 110:00AM to 4:00PM by Appointment Only
Wednesday - 10:00AM to 4:00PM by Appointment Only
Thursday - 10:00AM to 4:00PM by Appointment Only
Friday - 12Noon to 4:00PM by Appointment Only
Saturday - 12Noon to 3:00PM by Appointment Only
Sunday - 12Noon to 3:00PM by Appointment Only

NOTICE: As of March 1st 2020 we will no longer allow any persons under 18 to attend (FAQ)

Wrecking Date
Wrecking Time
Wrecking Package

Each Persons E-Mail **MUST BE** Different and to that person.
Please do not use an e-mail that is also yours twice.

Person #1
E-Mail Age
Person #2
E-Mail Age
Person #3 E-Mail Age
Person #4 E-Mail Age
Person #5 E-Mail Age
Person #6 E-Mail Age
Person #7 E-Mail Age

Additional Notes
Or Instructions
Billing Information:  
Name (First, Last) (Required)
Address Suite or Apt
City, State, Zip (Required)
Cell / Primary Phone Ext .:. (Required)
Cell / Secondary Phone Ext .:.
E-Mail Address (Required)
DO NOT USE:
@edu/@gov/@school/@mil/@att e-mails as they filter out DocuSign's
Payment Information Once you hit submit your Groupon will be marked "Used" or "Redeemed"
1 Groupon per person attending, separate each Groupon number with a comma ","

Groupon Number: (Required)
One (1) Groupon PER Person, Groupons CANT NOT BE SHARED

This is located near the barcode 6-10 digit number # 66554441122
This is NOT what your Groupon looks like # LG-S2G3-R74J-LZ4G-SK4X

$10.00 Refundable HOLD
This is to hold the date and time for you; the $10.00 will be refunded after your smash.
If you do not show up the $10.00 will not be refunded.

Run Hold
This is an additional reservation. (Credit Card Will Not Have 2nd Hold).

Name                                                       CVV
          (Required)
Card Number
(Required)
Expiration Date
        

Please Check Your Card Information A Declined Card Will **Void** Your Reservation

My clicking "I Agree" you agree to the terms and conditions of this site.
WreckA-Room has the right to deny any person (s) for any reason and we can reschedule
or postpone your session at anytime for any reason.
$10.00 Non-Refundable Reservation Deposit and Cancellation/No-Show Policy.

Please Type "agree"
(all lowercase must be exact match)
** MOST cell phones will auto Cap Agree please double check***

                                                   

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Designed, Created, & Managed by: Blue Frog Companies
The File Was Last Updated On: Friday, February 21, 2020 02:29:41 PM | v2019.11.08

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