Book Artistic Genius

BOOK ARTISTIC GENIUS
Please complete the form below with as much detail as possible so we can review your booking request.
Your Name

First NameLast Name
Name of organization
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization Type
I want to book Artistic Genius for (Select all that apply)

Other
Event Date

MonthDayYear
Date
Event Time

Hour Minutes

AM/PM Option
Name of Event (if applicable):
Name of Venue
Venue Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Travel Arrangements
Note: Rates vary depending on the scope of the event. Travel and lodging costs may apply when applicable.
Estimated Budget
Event Attire
For live performances, the Artist requires the following equipment. Please check the box if you are able to provide it. If not, please contact the Artist to discuss arrangements.
- Workshop Focus
  
  Other
- Intended Target Audience (Select all that apply)
- Expected Number of Participants
- Which best describes the participants experience?
- Workshop Length
- Workshop Format (Select all that apply)
- What are the workshop goals?
  Tell me what you hope participants will gain from this experience
- What supplies, equipment or technology will you or your organization provide?
- Please share any additional details the Artist should be aware of.
- PAYMENT TERMS
  
  A 25% non-refundable deposit is required to secure the Artist’s availability. Deposits can be made by invoice sent by the Artist to the Client via email once the booking form has been completed.
  
  Please check below if you understand and agree to the payment terms.
- Confirm payment agreement by selecting
- Agreement
  
  This booking form acts as a contract agreement between the Client and Artist for the services listed above to be provided at the event described by the Client. Once a deposit has been received, the Artist agrees to perform according to the terms and conditions listed. If for any reason the Artist becomes ill or is unable to fulfill service obligations due to weather conditions or other unforeseen events, the Artist will issue a refund of the deposit and any additional charges paid by the client.
- Today's Date
  
  MonthDayYear
  Date
- Client Signature
Should be Empty:

BOOK ARTISTIC GENIUS

Agreement