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MK Christmas Day Party For The Elderly
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Guest Booking Form
Your Name
Title
Mrs
Mr
Miss
Other
Age
Gender
Male
Female
Address
Postcode
Phone numbers
Email
Guest Information - Physical Assistance
Uses a wheelchair
Uses a frame
Uses a stick
Can sit in the back of a car
Medical and dietary requirements
Requires taking medication during the event
Requires having special foods
Any allergic reactions to foods
If any of the above please specify
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If you have any questions or suggestions please contact Ruth Seabrook.