Senior Birthday Party MediaLab Enquiry Form

Guardian’s Name (required)

Email (required)

Phone Number (required)

Child’s Name (required)

Child’s Date of Birth (required)

Party Session (required)
—Please choose an option—Multiplayer GamingGame On!

Preferred Party Date (required)

Preferred Party Time (required)
—Please choose an option—10.00am – 12noon1.00pm – 3.00pm

Second Party Date choice (required)

Second Party Time choice (required)
—Please choose an option—10.00am – 12noon1.00pm – 3.00pm
Number of Children (required)

Number of Adults (required)

MediaLab Parties
A MediaLab party depends on the ability of the party guests to game by keyboard, and due to time and resources, the host cannot teach children how to keyboard game.
If any children attending a Multiplayer Gaming party are under the age of 8 years, please confirm one of the following: (required)
—Please choose an option—All children are able to game on a keyboardThere will be enough adults to help any children under 8 years that may need help keyboard gamingI have not chosen Multiplayer Gaming and all the children are over the age of 8
Extra Info
Is there anything we should know about the people attending such as medical conditions or access requirements? (required)

Catering Details
Please select the option you will require on the day (required)
We would like to supply our own foodWe won't be eating at Capital E
What was the main way you heard about Capital E?
—Please choose an option—Capital E e-newsletterCapital E websiteCapital E What's On GuideSocial mediaWord of mouthOnline search
Would you like to receive our Capital E Newsletter?
YesNo thanksI'm already on your mailing list

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