The Terrace Event Space Form

Form
What is your email address?*
example@example.com
What is your full name?*

First NameLast Name
Mobile Number*
Address - Required for license*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please Specify Your Affiliation with Little Kerse*
What Date Would You Like to Have Your Event?*

DayMonthYear
Date
Time of Event*

Hour Minutes

AM/PM Option
What's the Occassion?*
If Birthday Party, Please Specify the Age
Number of Attendees*
Would You Require our Catering Services?*

YesNo
Do you have any dietary preferences or allergies for catering?
Any additional services you will require (e.g. DJ, Karaoke, Decorations etc.)
Would you like to receive marketing emails on events/promos and offers at Little Kerse?

Yes, I can't miss out on this!No, I don't want to hear from you?
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