Clementine The Amazing Face Painting
Intake form
Email address *
Name *
Phone Number *
Name of Guest of honor
Theme
Street Address of party- please be specific it will help determine availability *
City *
Day of the week *
Date of the party *
MM
/
DD
/
YYYY
Start Time you require entertainment
Time
:
End Time you require *
Time
:
Is the timing of your party flexible? *
Amount of guests to be entertained *
Entertainment required *
Required
Face Painting Party Package you are most interested in, Please review party packages at www.ClementineTheAmazing.com
Clear selection
Other Party Package interested in
Clear selection
Paint night party information, Exact number of guests, and type of painting you would like
Artist preferred
Clear selection
If requesting a Princess party Please specify which princess you prefer
Clear selection
Which payment method do you prefer for the 50% retainer/booking fee?
Clear selection
Did you read over the contract and agree to the terms? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.