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Clementine The Amazing Face Painting
Intake form
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Email
*
Your email
Date you filled this form out
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MM
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DD
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YYYY
Name
*
Your answer
Phone Number
*
Your answer
Name of Guest of honor
Your answer
Theme
Your answer
Street Address of party- Number/Street
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Your answer
Zip Code
*
Your answer
City/State
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Your answer
Day of the week
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Date of the party
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MM
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DD
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YYYY
Start Time you require entertainment
Time
:
AM
PM
End Time you require
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Time
:
AM
PM
Is the timing of your party flexible?
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Yes
No
Maybe
Amount of guests to be entertained
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1-10
10-15
15-20
20-25
Other:
Entertainment required
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Face Painting
Air Brush Tattoos
Glitter tattoos
Henna Tattoos, California only
Paint night Party (only available on Whidbey Island Washington)
Other:
Required
Special requests or questions
*
Your answer
Face Painting Party Package you are most interested in, Please review party packages at
www.ClementineTheAmazing.com
Starter- 1 hour- 10 guests- $215 California , $190 Washington (Restrictions apply)
Premium- 2 hours-20 guests- $285 California $250 Washington
Ultra-3 hours, limited designs- up to 50 guests- $400California $350 Washington
Classroom- restrictions apply, check website (Santa Rosa, or Oak Harbor weekdays only)
Black light- check website for details
Other:
Clear selection
Other Party Package interested in
Paint party class - $300-$475 check website for details (location only on Whidbey Island Washinton)
Henna- $350-$500 check website for details
Airbrush tattoos- based on needs prices vary check website for details
Glitter bar
Glitter tattoos
Other:
Clear selection
Paint night party information, Exact number of guests, and type of painting you would like
Your answer
Artist preferred
Clementine The Amazing
Stephanie The Star
Jin The Jubilant
No preference
Other:
Clear selection
Which payment method do you prefer for the 50% retainer/booking fee?
Credit card Via PayPal invoice
Check for full balance mailed to Clementine( only available when booking more than a week prior to event)
Clear selection
Did you read over the contract and agree to the terms?
*
Yes
No
Maybe
A copy of your responses will be emailed to the address you provided.
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