The Supper Club Dietary Restrictions Question Title * 1. Supper Club Purchase Confirmation Number Question Title * 2. What venue did you purchase for? FirstMerit Bank Pavilion Hollywood Casino Amphitheatre Coral Sky Amphitheatre Gexa Energy Pavilion PNC Bank Arts Center First Midwest Bank Amphitheatre Klipsch Music Center Saratoga Performing Arts Center Nikon at Jones Beach Theater Susquehanna Bank Center Blossom Music Center Question Title * 3. What date did you purchase for? Date: Date Question Title * 4. Purchaser First Name Question Title * 5. Purchaser Last Name Question Title * 6. Email address Question Title * 7. Dietary Restrictions None Gluten free Vegetarian Vegan Pescatarian Other Restrictions Question Title * 8. Name of guest(s) in your party that this Dietary Restriction applies to. Question Title * 9. Allergies None Dairy Peanut Fish Shellfish Wheat Soy Other Allergies Question Title * 10. Name of guest(s) in your party that this Allergy applies to. Done