Name: Mabel Canary Date: 2014-10-13

☐ Male ☒ Female

Which project would you like to enrol on? (Tick one box.)

☐ Mind-Controlling Cookies☒ Telepathic Cakes
☐ Exploding Chocolates☐ Ray Gun

Which ice-cream flavours do you like? (Tick all that apply.)

☒ Vanilla☐ Mint☐ Toffee
☒ Fudge☐ Guaraná☐ Strawberry
☐ Raspberry Ripple☐ Chilli☒ Other: Neapolitan