Dilly & BubbleGum Event Entertainment

Event Booking Form

Referred by *

Payment Options *

Cheque Cash E-transfer Please send e-transfer to ([email protected])

Please click on ? for instructions. Thank you!

CONTACT INFORMATION

Name: Company/Organization/School *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Person #1 *

Email *

Phone # *

Cell Phone # *

Contact Person #2 *

Email *

Phone # *

Cell Phone # *

EVENT INFORMATION

Date of Event *

Event Name *

Event Start & Finish Times *

Click & Clown Company Start & Finish Times *

Approximate # of attendees *

Approximate # of children *

Name of Event Venue (if applicable) *

Parking Arrangements *

Address *

Line 1

Line 2

City

State

Zip Code

Country

If other, please specify *

Comment *

SANTA & MRS. CLAUS INFORMATION

Costumes (which would you prefer?) *

Arrive in Costume Change into costume at venue

Would you like us to hand out gifts? *

Yes No

Is there a place to change at the venue? *

Yes No

Comment *