Your Name: Katie Brennan Address: 290 3rd Ave, Apt. 25C, NY, NY 10010 Email: kathryn.rose4@gmail.com Cell: 516-639-7519 Your Child’s Name: Riley (female) Birthday Child’s Age (turning): 3 Location of Party: Asser Levy Do you have a permit? No Are you planning on getting a permit? Yes, if we need to but it seems you already do for this time/location? Day & Time of Party: Sunday, Sept 28 at 10am Number of kids attending party: 15 (estimate - will know closer to date) Is your child a SocRoc student? No