Autism Bricks UK LEGO Party Booking Form
Parent's / Host's Name
Mr.
Mrs.
Ms.
Miss.
Dr.
Prefix
First Name
Last Name
Child's Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Mobile for on the day
-
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
Town
City
Post Code
Venue of Party
Street Address
Street Address Line 2
Town
City
Post Code
Alternatively to book one of our sites, please choose (Additional cost £50)
Leeds
Bradford
Shipley
Party package
Party package 1
Package 1 + Partyware
Party package 2
Number of children? (Min of 10) £15 per child with food £12 per child without food.
Date of party
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Party Start Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Party Finish Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Would you require more than 1.5 hours? If yes this is charged at £45 per hour extra.
+ 1 hour
+ 2 hours
+ 3 hours
Theme of partyware (see website for list of available options www.autismbricksuk.org/lego-parties)
If chosen party package 1 please specify any food allergies i.e gluten/dairy free.
Cake required? (See ABUK website for choices)
Cake 1
Cake 2
Cake 3
Party bags required ranging from £2.99 – £3.99 each. Please specify in the other box which you would like.
Yes
No
Other
As part of our commitment to support the local community we currently offer a 10% donation to schools / community organisations that have signed up to our community giving scheme #ABUKcommunitygiving. Please give the details of the name of the school / community organisations. Please give the details of the name of the school / community organisations.
Additional info / Requests
Please tick to confirm that you are happy for us to contact you
Agree
A non refundable deposit of £50 is required once we have confirmed that the date is available.
Submit
Should be Empty: