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: Please Select One Party (Child) Party (Teen/Adult) Church/School Function Charity Event Corporate Event Concert/Festival/Public Appearance Other (please specify)
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.):
You are visitor number:
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