Thanks for choosing Cotton! Please enable JavaScript in your browser to complete this form.Name: *FirstLastEmail: *Primary phone number: *(###) ###-####Alt Phone: *(###) ###-#### (Please share the number to dependably reach you at event)How did you discover Cotton? *Street address for event location: *Zip Code for event location: *Name of facility or park:Rain location (If different):Select all that apply: *MusicMagicBalloonsFace / hand paintingFingernailsGamesArts and craftsFee we quoted you for our services: *Payment method: *CashCheckCharity, N/CIf paying by check, I will make payable to "Tricia Cotton Dean." *I agreeBy checking this box, I confirm that I will have my checkbook with me at the event, and I will pay $40.00 if check is returned. *I agreeEvent type: *BirthdayCorporateRetailHolidayOtherName of birthday child or honoree: *FirstLastYour child's current interests: *Please share any current fears or apprehensions your child has that would be beneficial for your performer to know about:Do any guests attending have latex allergies?Approximate age range of children expected (Including siblings):I understand that if I do not receive confirmation of this booking within 24 hours, I need to notify Cotton. Until I receive confirmation, my booking status is not secure: *I agreeIt is The Client's Responsibility to Rapidly Inform Cotton by email if a Booking Confirmation is not received in due time (24 Bus. Hrs.).Max number of children expected (include siblings): *Cotton's attire: *I agree to the terms of Cotton's Cancellation Policy: *I agreeI understand that my submission of this form constitutes a legally binding agreement between myself and Cotton the Clown, and agree to the terms of Cotton's Cancellation Policy: *I agreeI understand That my booking is unsecured until I have received confirmation: *I agreeToday's date: *MM/DD/YYYYAdditional comments:CommentSubmit