Animal Star Awards Dinner Choices Midlands Region

Full Name

First NameLast Name

Which organisation do you represent?

Your Mobile Number

Example 07689 475689

Your Email Address

MAIN COURSE

1) Butter Roasted Chicken Breast,Garlic Roast Potatoes,Braised Cabbage,Glazed Carrots and Sage Gravy.

2) Cranberry and Parsnip Tart served with the above seasonal vegetables and garlic roast potatoes. (Vegan,Vegetarian & Gluten free options)

DESSERTS

3) Salted Chocolate and Caramel Tart

4) Cheesecake with macerated strawberries (Vegan & Gluten Free)

PLEASE NAME YOUR GUESTS AS WELL AS PUTTING THEIR MENU CHOICES EXAMPLE 1&3 or 2&4

Please write numbers ONLY

WE NEED TO KNOW WHO YOU AND YOUR GUESTS ARE FOR PLACECARDS ETC

Guest 1 You

Your Name of guest & their food choices ie 1 & 4

Guest 2

Their full name & choices ie 1 & 3

Guest 3

Guest 4

Guest 5

Guest 6

Does anyone in your party have food allergies that require an EpiPen?

Please put their name above and their allergy ie Nut, Gluten Free,

Who would you like to sit with? (List names, if any)

Please verify that you are human