Year 13 Leavers Ball - Ticket Request Form

Year 13 Leavers Ball, Wicksteed Park Kettering, Wednesday 28th June 2003 6.00pm

Student Firstname:

Student Surname:

Student Date of Birth:

I will be attending the Year 13 Leavers Ball:

YES

I will pay for my ticket by the deadline of Friday 31st March by:

Cash

Cheque

ParentPay

Please send cash and cheques to the Finance Office in a sealed envelope with your name clearly written on the front and 'Leavers Ball 2023'.

If paying by ParentPay the total amount payable, including the transaction fee, is £45.45. Please state the date paid:

Dietary Choices:

Vegetarian

Vegan

No dietary requirements

Do you have any allergies? Please detail if so:

Please submit by the closing date of Friday 31st March 2003.

Thank you!

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Please leave the next box blank or your submission will not be accepted: