Wednesday Night Supper Reservation Name* First Last Phone:*Email:* To send the confirmation.I'd like to:*Make a new reservationChange my reservationCancel my reservationHow many kids (3 and Under) will be eating?FreeHow many kids (4-10) will be eating?$3 EachHow many adults will be eating?$5 EachPlease confirm:* I agree to pay what is owed for the meal this Wednesday night. (Max of $28) Number of kids (3 and Under):FreeNumber of kids (ages 4-10):$3 EachNumber of adults:$5 EachDo you want to make this a standing reservation?*YesNoYour meal(s) will be reserved each week.Please confirm:* I agree to pay what is owed for the meal this Wednesday night. (Max of $28) Do you cancel the reservation for just this week or rest of this year?*This WeekRest of the year.