Please use this form to book your event with Stripes the Clown. Please remember that submitting this form does not automatically confirm your booking. You will be contacted at the earliest possible time (usually same day, and normally by telephone) with confirmation or further information.

 

CLIENT INFORMATION:

Your Name:                  E-Mail Address:   

Telephone #:                 Street Address:     

City/Town:     


EVENT INFORMATION:

Requested time: AM PM    to     AM PM

Requested date:       Type of Event:

Expected number of Guests:    

Requested attractions (no additional charge):
Animal Balloons   Izzy the Puppet   Unicycle (outside only)  Juggling   Poi (outside only)
Face Painting       Games                Magic

Requested attractions (extra charges):
Event Planning (Assistance)        Event Planning (Complete)

(Any further requests or additional information that may be important (latex allergies, guest age bracket, act ideas, etc.):

 

 

 

               

 

 

 

 

 

 

 

 

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© 2008 Justin A. Foley
"Stripes the Clown" the name and the "Stripes the Clown" logo are the intellectual property of Justin A. Foley. All Rights Reserved.