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NAME OF BIRTHDAY CHILD………………………………………………………

AGE OF BIRTHDAY CHILD ……….…………………………………...................

TELEPHONE NUMBER      ........................……………………….………………

ADDRESS    ………………………………………………………………………...

…………………………………………………………………………………………

EMAIL ADDRESS    …………………………………………………………..........

PARENTS/GUARDIAN’S NAME……………………………………………………

NUMBER OF CHILDREN…………………………………………………………..

DATE & TIME……………………………………………………………….………..

CHOSEN THEME…………………………………………………………………….

MEAL CHOICE NOS           HOT DOG ……....     VEGGY HOT DOG …………….

Please tick if you would like us to provide a cake at an additional cost of £10…………

Please tick if you would like an extra half hour campfire with toasted marshmallows in addition to your two hour party (additional £35)   ………….

By signing this form I accept the Terms & Conditions relating to Birthday Party bookings as outlined on the Gordon Brown Outdoor Education Centre website.

PARENTS/GUARDIAN’S SIGNATURE     ……………………………………………..

PLEASE RETURN THIS FORM WITH YOUR £25 DEPOSIT TO:

Birthday Party Bookings

The Gordon Brown Outdoor Education Centre

                   Ridge Lane

                   Rotherwick

                   Hook

                   Hampshire

                   RG27 9AT

                   Tel: 01256 762824

Please make cheques payable to “London Borough of Brent"