Dinner at Kanata United Church
You are invited to dinner at Kanata United Church on Saturday March 28th! It will be an evening of community, conversation and connection. We hope you can be a part of it!
5:30 Mocktails and Appetizers
6:30 Dinner

Dinner will be a three course menu with vegetarian and gluten-free options available at each course. Mocktails will be served with the appetizers, and coffee and tea will be served with dessert. We want everyone to be able to come, regardless of dietary restrictions. If you have dietary restrictions, please let us know on this form. 

Children 12 and under eat free with a special menu. They will be cared for in another room, so you can enjoy your dinner and know your kids are safe and having a fun dinner of their own.

33 Leacock Drive, Kanata
Sign in to Google to save your progress. Learn more
1. Your Full Name *
2. Email Address *
3. Phone Number *
4. Number of youth (13+) and adult attendees (including yourself)
5. Are there any children (up to age 12?) in your group?
6. Names of each attendee (including yourself!) and dietary restrictions for each attendee. If you have children aged 12 or under in your group, please also share their ages. Please list children last, as this will help keep things simple for our admin folks.

Ex.
1. Betty Smith (gluten free)
2. Susan Chen (no dietary restrictions)
3. Ethan Smith (aged 8, no dietary restrictions)
 *
Menu Section
Below, we will ask you to choose a menu selection. For the appetizer, entree and dessert, please select one option for each youth or adult participant.  If there are children in your group, please skip questions 7-9 for the children. There is a special menu for children.

In the question 6, you listed each participant. When answering questions 7-9, please use the same order of people  (For example, Betty Smith from the example above would be Person 1 in the question below, Susan Chen would be Person 2, and there would be no need to fill out Person 3-10 as Ethan Smith would be having the special children's menu.) 
7. Appetizers. (Please select one appetizer option for each attendee.)
Option One: Cream of Potato and Leek Soup (Gluten-free)
Option Two: Whipped goat cheese on toasted crostini topped with cherry tomatoes and balsamic glaze (can be made gluten-free)
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Person 8
Person 9
Person 10
8. Entrees (Please select one option for each attendee.)
Option 1: Lemon Dill Salmon, Basmati Rice, Maple and Ginger Glazed Carrots
Option 2: Stuffed Chicken (cheese, spinach, mixed peppers and herbs), Maple and Ginger-glazed carrots.
Vegetarian: Stuffed Peppers with Rice and Black Beans
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Person 8
Person 9
Person 10
9. Dessert (Please select one dessert option for each attendee.)
Lemon Cake with Chocolate Icing
Gluten-free cake.
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Person 8
Person 9
Person 10
Payment
The dinner is $45 per person. Kids 12 and under eat free with a special menu.

You can pay in advance by e-transfer, in-person at the office

10. I prefer to pay...
Clear selection
11. Do you have any questions or comments to share?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms