Client Intake Form

Client Intake Form

Please fill out the following information to help us understand your needs and provide the best service.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Event Date

MonthDayYear
Date
Event Start Time

Hour Minutes

AM/PM Option
Event End Time

Hour Minutes

AM/PM Option
Event Venu Name
Event Venue Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Is the event venue booked?

YesNo
Is the event indoors or outdoors?

IndoorsOutdoors under a tent or pavillion
Estimated Number of Guests
Age of Youngest Guest
Age of Eldest Guest
Type of Event:

Private Party: birthday, anniversary, graduation, bachelor/bachelorette, etc.Corporate EventFundraiserOther
Games you're interested in: (Please check all that apply.)

BlackjackPokerRouletteCraps
Number of tables desired:
Would you like professional dealers?

YesNo
What time can setup begin?

Hour Minutes

AM/PM Option
Is there access to power and adequate space?

YesNo
Venue restrictions (noise, space, decor, curfew, etc.)
Will all casino activities be in one room?

YesNo
Will food and drinks be served?

YesNo
Do you need help with any of the following?

CateringBar ServiceMusic / DJ / EmceeDecor
Estimated Event Budget:
Have you hosted a casino party before?

YesNo
Payment Schedule:

Deposit + BalancePay in Full
Is your event open to the public?

YesNo
Will you need help with promotion or ticketing?

YesNo
Will there be sponsors/partners?

YesNo
Preferred Contact Method

EmailPhoneSMS
Preferred Contact Date and Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Event specific questions or requests:
Signature
Should be Empty: