Mr. Ben Birthday Booking Form
please fill in all these details if you would like Mr. Ben to perform at your child's birthday!
Your name (first and last) *
Your answer
Child's name (first and last) *
Your answer
Child's age (at birthday) *
Your answer
email address *
Your answer
phone number where you can be reached *
Your answer
street address & city *
Your answer
Party date *
MM
/
DD
/
YYYY
Time of party? *
Time
:
Number of expected guests (children / adults) *
Your answer
Can Mr. Ben bring bubbles to use during the performance? *
Please indicate any songs you would like included (though Mr. Ben will do his best to accommodate these, it is not always possible to do so with all requests) *
Your answer
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