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SodaPop Birthday Party & Event Information Submission

INTERESTED in LEARNING MORE or BOOKING AN EVENT?
This form allows SodaPop to gather important information to better understand your needs for the important day!

* Your First Name

* Your Last Name

* Your Address 1

Your Address 2

* Your City

* State

* Zip

* Evening Phone

* Cell Phone**

* Your Email Address

* Your Relationship to the Child/ Person of Importance (or to the event if not a birthday party)

The Party or Event

* Type of Event

* Date of Party / Event

* Time of Event

* Time SodaPop Should Arrive

* Number of Children Expected

* Age Range

Special Considerations:

Theme

* Which is the MOST important skill for your event?

Which is the 2nd MOST important skill for your event? (optional)

Which is the 3rd MOST important skill for your event? (optional)

Event Location

* Event will be held at a

Name of Venue/Hall/Complex/Building

* Event Address 1

Event Address 2

* Event City

* State

* Zip

* Do you have Pets/Animals?
(Dogs, Cats, Birds, Horses, etc...
besides Fish or Reptiles)

At the event location?

Birthday Child or Person of Significance Information

* Name

* Gender

* Age

Source & Decision Making Information

* Please check the most important reasons influencing your decision to hire a clown/ entertainer

* How did you find SodaPop?

* Have you talked any other clowns?

* Who/ Names:

* What other entertainment have you considered for this event? (describe)

Other Information -- -- -- Make Checks Payable to "Scott Champeau"

* I plan to pay by:

* What price do you think is fair for a One Hour Clown Program?
(Your answer does not effect the rate I quote you)

Additional Offers:

If you wish to receive "Where is SodaPop & What is he up to", updates or invitations via email, please check here.

* Indicates Response Required

Reputation	Skills	Have seen before
His Website	Price	Friend/Relative's Recommendation