Events booking form

Name *

First Name

Last Name

Forthcoming events:

Please tick each of the events you wish to attend:

Tue 2 Apr - Eagle Heights Wildlife Foundation (Members £40 / Essential Carers £40 / Non-essential parent/carers £45

Wed 3 Apr - Bowling at City Bowl (Members £20 / Participating Essential Carers £20 / Participating Non-essential parent/carers £25 Non participating free)

Thu 4 Apr: Conjuring at the Court (Members £45 / Essential Carers £45 / Non-essential parent/carers £50)

Fri 5 Apr: Go Ape Hylands Park (Members £30 / Participating Essential Carers £30 / Participating Non-essential parent/carers £35/non participating free)

Sun 7 Apr: Stansted Raceway (Members £30 / Essential Carers £30 / Non-essential parent/carers £35)

Mon 8 Apr: Disco (Members £15 / Essential Carers £5 if eating/ Non-essential parent/carers £5 if eating/ not eating free)

Tue 9 Apr: Pottery Painting at Barleylands (Members £30 / Essential Carers £30 / Non-essential parent/carers £35/ non participating but transport £10)

Thu 11-12 Apr: Gaveston Hall Residential (Members £120 / Essential Carers £120 / Non-essential parent/carers £140)

Will you be attending with or without a carer? *

Please select one from the list below:

Without a carer

With a parent/carer

With an essential carer

Please tick here if you are a wheelchair user:

How will you be paying? *

Please select one from the list below:

Via PayPal (see link below)

Direct Bank Transfer (Please contact us for bank details.)

Cheque/postal order: Made payable to: Grapevine Essex and posted to: Grapevine Essex, c/o Tulip Hall, 31 Clacton Road, St Osyth, Essex CO16 8PA

I would like Penderel's Trust/ECC to be invoiced directly (please provide your reference number below)

Bowling - 3 Apr

Choose one

Beefburger and Chips

Chicken Nuggets and Chips

Fish Fingers and Chips

Cheeseburger and Chips

Conjuring at the Court - 4 Apr

Choose one from each course

Florentine Pizza: Spinach, Mushroom, Olive and Egg (V)

Hawaiian Pizza: Ham and Pinapple

Americano Pizza: Pepperoni, Onion, Jalapeno

BBQ Pulled Beef Brisket Pizza

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Chocolate Brownie with Vanilla Ice Cream

Sticky Toffee Pudding with Salted Caramel Ice Cream

Barleylands - 9 Apr

Choose one

Jacket Potato with Coronation Turkey

Jacket Potato with Cheese and Beans (V)

Jacket Potato with Tuna mayonaise

Toasted sandwich with Brie, Bacon

Toasted sandwich with Tuna mayonnaise, Cheese

Toasted sandwich with Cheese, Tomato, Onion (V)