Hi! I'm so glad you've chosen me to perform at your upcoming event.

Please only fill in this form if directed to do so by me. (If I have not directed you here, please fill out my initial contact form by clicking here.) Please try to answer each question as accurately as possible, but there's no need to fret about any one answer. (For example, it doesn't matter if you say you expect 16 children but 22 show up the day of the event. It would matter if you say 16 and we get 42.) If you have any questions, don't hesitate to call me or e-mail me (847) 361-0924; scott@thegreatscott.com).

Name

First Name

Last Name

Email Address

Cell Phone

What's the best number to reach you, especially the day of the event?

(###)

###

####

Alternate Phone

(###)

###

####

Date of Event

YYYY

Time for Start of Show

The Show Will Be:

Venue

Home, Pete's Banquet Hall, Park District Fieldhouse, etc.

Address of Venue

123 Main St., Chicago, IL

Where Should I Park My Car?

Your Mailing Address

If different from the venue address

Name and Age of Guest of Honor

"Billy is turning 7"

Names and Ages of Guest of Honor's Siblings (if applicable)

"Billy's sister Susie is 4, and his brother Danny is two months"

Names of Parents of Guest of Honor (if applicable)

"I'm Billy's dad; I'll be his only parent at the event." "Billy's Mom, Diane, stepdad, Phil, and Dad, Gary will be at his party." It's not strictly essential for me to know the parents of the birthday child or the family dynamics, but it can help avoid awkward moments. For example, I like to send the birthday child to pull coins from each parent's nose.

Approximate Number of Children Expected

Approximate Age Range of Children Expected

"They'll all be in first grade; They'll mostly be 3-6 years old; They'll all be in junior high"

Approximate Number of Adults Expected

Time of Event

Theme of Event (if applicable)

How Did You Hear About Me?

Anything Else I Should Know?