Reservation Form Libero Reservation Request This is a tentative reservation form. Please note that we may not be able to meet your date and time request depending on availability. ・If you have any allergies or special dietary needs, please indicate them in the "Requests" column. ・If we are unable to contact you within 30 minutes of your reserved time, we may have no choice but to cancel your reservation. ・For reservations of 15 people or more, please contact the restaurant directly. ・Children under 12 years old must be counted as adults when using the same plan as adults. Name of Representative Adult* --number--1234567891011121314 Children (optional) --number--01234567891011121314 Reservation Date* Booking time* --Time--17:0017:3018:0018:3019:0019:3020:0021:00以降 Purpose of use (optional) AnniversaryDinnerLunchSecond party useParty useRequest for private useOther (if other, please indicate in the request box) E-email address* Phone number (optional) "Requests" (Optional: Allergies, etc.)