Wine Experience Details Name * First Name Last Name Email * Phone * (###) ### #### Address For the tasting location Date of the Event MM DD YYYY Time of the Event Hour Minute Second AM PM # of Guests Theme Preference Select One Wine 101: Introduction to Wine Historical Noble Grapes Obscure Wines of Europe Exploring Indigenous Grapes Old World vs New World The Italian Experience Regions of France Spanish Fiesta A Tour of South America The Best of California Mediterranean Medley The Art of Dessert Wines Bubbles from Around the World Sustainably Sourced Wines of the Pacific Northwest Luxury Wines of: The World Luxury Wines of: California Luxury Wines of: France Luxury Wines of: Italy Luxury Wines of: Other Create Your Own Theme What type of wine experiences are you interested in? Check all that apply Sparkling White Rosé Red Dessert Other Do you have any specific wine preferences or favorite varieties? Optional Are there any wines or types of wine you would like to avoid? Optional Which of the following food pairing options would you like? Select one Themed Wine Flight (no food included) Wine & Charcuterie Pairing Experience Wine Tasting with Passed Hors d'Oeuvres Wine Tasting with Small Plates Seated Wine Dinner Other Do you or any of your guests have any dietary restrictions or allergies we should be aware of? Optional Would you like to include any specific dishes or ingredients? Optional What are your goals for this wine tasting experience? Select all that apply Socializing with friends/family Learning about wine Celebrating a special occasion Other Is there anything specific you would like to learn during the tasting? Optional How did you hear about Nick Dooley, Sommelier? Optional Do you have any other requests or comments? Optional Thank you for completing the intake form! We look forward to creating a memorable wine tasting experience tailored to your preferences. Once we receive your form, we’ll reach out to confirm the details and discuss the next steps. Cheers!
