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Services Request Form
Name of Organiser:
Mr
Mrs
Miss
Ms
Dr
Address 1:
Address 2:
Address 3:
Post Code:
Email Address:
Contact Number:
Name of Birthday Child:
Female:
Male:
Age of Child:
Date of Party:
Ice Skating Session:
Number of Children attending (min 10 – max 20):
Time for food to be served:
Would you like a meet and greet with NIC mascot – Pip the Penguin:
Yes
No