New Customer Registration Form

Lunch with Santa
Lunch with Santa 2026

at WHG Community Room Dudley Fields Bloxwich WS3 3QH

(Next to Cook's Choice)

There are 2 dates and 2 times you can choose from

Monday 21st December

11.30am-1.30pm or 2.30pm-4.30pm

or

Tuesday 22nd December

11.30am-1.30pm or 2.30pm-4.300m

Each child is £7.00

Each child receives a hot Christmas meal and a present.

Santa will be in the room while the children are eating then you can have time in his grotto where you can take family photos.

I wonder if there will be snow this year!

You can pay either through PayPal (details below)

or Bank Transfer

Cooperative Bank plc

Mossley Community Connections

Sort code - 08-92-99

Account number - 67294749

(Bank transfer we don't get charged)

If you do pay via Bank Transfer please text or email me your information

If you would like more information you can email mossleycommunityconnections@gmail.com or Text MCC 07858 787378
Your Details:
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First NameLast Name
Address

Street Address

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CityState / Province

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example@example.com
Name and ages of children, would they like Christmas dinner, Sausage dinner or Vegetarian dinner. Also do they have you any allergies or health issues you think we should be aware about?
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All information will be treated as strictly confidential by MCC. High level summaries may be shared with the funders. All data will be collected and stored in accordance with the GDPR 2018 guidelines. Data may be provided to the funders upon an audit or monitoring visit.
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