Your Name (Parent) Gus Segreto Email segreto07@gmail.fom Cell Phone (631) 882-9390 Your Address 211 E 35th St Apt. 2AB New York, New York 10016 United States Birthday Child's Name Leo Birthday Child's Age (turning) 7 Day & Time of Party 8/1, Saturday, 2PM Location of Party St. Vartan’s Park Do you have a permit? No Are you planning on getting a permit? No Number of kids attending the party 5 Is your child currently a SocRoc student? Yes