Book Cotton

Name: *

First

Last

Email: *

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: *

Fee we quoted you for our services: *

Payment method: *

Cash
Check
Charity, N/C

If paying by check, I will make payable to "Tricia Cotton Dean." *

I agree

By 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 agree

Event type: *

Name of birthday child or honoree: *

First

Last

Your 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 agree

It 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 agree

I 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 agree

I understand That my booking is unsecured until I have received confirmation: *

I agree

Today's date: *

MM/DD/YYYY

Additional comments: