Contact Name:

Organisation:

Email Address

Mobile:

Character:

Child's age:

Child's name:

Age range:

Number of children:

Party package / length / cost:

Date of party:

Time of Party:

Event Address:

Postcode

Any Special Requests/ Helpful or Important Information we should know about

How much space is available at your event?

If your event is outside what is your plan if it rains?

Sweets/Lollipops or Raisins? – State allergies or requests such as ‘no gelatine’ or ‘Halal’ Sweets/Lollipops or Raisins? – State allergies or requests such as ‘no gelatine’ or ‘Halal’ All sweets allowed Raisins & Non Sweet Prizes Halal Sweets Vegetarian Sweets

Do you prefer a Male or Female Entertainer? Do you prefer a Male or Female Entertainer? Male Female Surprise Me!

Face Painting at the Party by us? Please provide 2 chairs & a table Face Painting at the Party by us? Please provide 2 chairs & a table Yes No

Music Required? (Portable Stereo Equipment will be brought, please organise a power supply for the entertainer) Music Required? (Portable Stereo Equipment will be brought, please organise a power supply for the entertainer) Yes No

Is there free parking available with easy access to venue? Is there free parking available with easy access to venue? Yes No

Please provide parking details if needed:

How did you hear about/find the Minnie The Clown website? How did you hear about/find the Minnie The Clown website? Google Gumtree Netmums FaceBook Recommendation Seen an Entertainer at a Party Other

If ‘Seen An Entertainer at a Party,’ please name them here or state the character they were, who’s party it was so that we can reward them:

Do you have a Discount Code? Name it here!

You have agreed to Terms and Conditions of Service Effective as of July 2010* You have agreed to Terms and Conditions of Service Effective as of July 2010* Yes, I have read it at www.minnietheclownparties.co.uk/terms-conditions

Number