Information Request Form

*Disco the Clown & Friends, LLC*
*A Children's Entertainment Company 1-(866) 51-DISCO*

Please fill out the form below to provide us with some information on your event. The information will help us to give you an accurate quote, appropriate services to provide for all guests, scheduling and so forth.
	First Name
	Last Name
	Address Line 1
	City
	State
	Zip Postal Code
	Day and evening contact phone numbers:
	Email Address
		Which services are you interested in?
		Clowns Costume Characters Princesses Storks Disc Jockeys Easter Bunny Santa/ Elf Face Painting Balloon Sculpting Dancing Games
	What is the date of your party?
		What time is your party scheduled for? What time do you want the performer to perform?

		If your home address is not the location of the party, please list the name of the establishment and/or the town that the party will be held in:

	What kind of party are you having?
		What is the name and age of the guest of honor?

		Approximately how many children will be attending your party?

		What are the ages of the children attending the party? Are there more girls or boys? Please list how many boys or girls.

		Please list any questions and specify any particular costumes, princesses, etc.