Full Name (must match Eventbrite deposit) *
Dancer Preference * FemaleMaleBothUndecided
How many dancers? *
Duration * 1 hour2 hours3 hours
Event Date *
Start Time * 12:00 AM12:30 AM1:00 AM1:30 AM2:00 AM2:30 AM3:00 AM3:30 AM4:00 AM4:30 AM5:00 AM5:30 AM6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM
Party Address *
Main Contact Cell *
Backup Contact Cell
Contact Email *
Notes / Special Requests
I understand my booking is confirmed only after I (1) submit this form and (2) make the $100 per dancer deposit via Eventbrite. Remaining balance is paid in cash to entertainers at the event.
