Name:		Date Requested:
Address Line 1:		Time Requested:
Address Line 2:		Duration:
Postcode:		Booking Type:	please select... ASD/DIS open-session Baby & Toddler Session Birthday Party - Buffet Table Birthday Party - No Buffet Table Disability Session - Private Group visit Party Rehabilitation School visit Special needs party
Telephone:
Mobile:
Email:
Do you need to carry out a risk assessment prior to your visit?		Yes      No