Host Name *

First Name

Last Name

Phone *

(###)

###

####

Is your date or time flexible?

No, both my event time and date are set.

Yes, both my event date and time are still flexible.

Kinda, my event date is set but time is flexible.

Sorta, my event date is flexible but the time needs to remain the same.

Event Date

MM

DD

YYYY

Event Start Time

Hour

Minute

Second

AM PM

Event End Time

Hour

Minute

Second

AM PM

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Event Type

Private Event

Open Public Event

Service(s) Requested

Face/body painting

Balloon Twisting

Canvas/Rock/Other Painting

Squeaky (Giant Balloon Dog) Encounter

Balloon Decor, Accessories, and Treat Bags

Mural, wall art, custom Requests

Crazy Hair, Tensile, Ribbons, Beads, Bows, & Braids

Special Art Lessons and craft groups

Specialty water resistant body paints, air brush, and glitter tattoo options

Guest Expectations

Less than 10 kids

11-25 kids

26-50 kids

50-100 kids

Over 100 kids

Setting/Environment

Indoors - We’ll Keep it Tidy

Outdoors - With a Plan B for Poor Weather

Applicable Discounts

Veteran/Military

Senior Over 65

Emancipated Child

Single Mother/Father Struggling

Other ‘I need a discount’ reason…