Your Contact Information
Your Name:
*
Your Address:
*
City and State:
*
Zip Code:
*
Phone:
E-mail:
*
Information About Your Event
Date of Your Event:
*
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Month
-
Day
Year
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Second choice of date?
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Month
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Day
Year
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Time You'd Like the Show to begin
*
1
2
3
4
5
6
7
8
9
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:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Address of show (if different than above)
What type of entetainment are you interested in?
*
Please Select
School Assembly
Family Magic Show
Children's Birthday Party
Face Painting
Balloon Twisting
Strolling Magic
Good News Magic Show
Other
Additional Information Needed For School Assemblies
Which assembly program are you interested in?
Please Select
Good Character
Just for Fun
Just Say No to Drugs
Magic of Reading
No Bully
Science is Fun
How many shows will you be needing?
Please Select
1
2
3
Grade Level of Audience:
Additional Information Needed For Family Magic Shows
Check the add-on services you would like. (if any)
15 Extra Minutes of showtime
Balloon Sculptures and/or Walk Around Magic
Face Painting
Additional Information Needed For Birthday Parties
Birthday Child's Name & Age:
Which birthday package would you like?
Please Select
Basic
Deluxe
Approx. Number of Guests
Age Range of Guests:
Check the add-on services you would like.
Face Painting
Balloon Twisting
Favor Bags
Candy Cups
And Finally
Is there anything else we should know?
Where did you hear about Ken the Magician & Jazzy Jen/Dovetail Presentations?
Google internet search
Another search engine (please name)
funnewjersey.com
I saw his show and kept his card/promo info
I received a mailing
A friend recommended him (please list below so we may thank them)
Another entertainer recommended him (please name below so we may thank them)
Other (please specify below)
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