The Lit Chemist Request Form

The Lit Chemist Request Form

Thank you for your interest in The Lit Chemist! 🔬✨ A representative will contact you within 24–48 business hours. Please note: Submitting this form does not guarantee availability or confirm your workshop. Requests are handled first-come, first-served. We recommend submitting your request at least one month in advance.
Personal Information
Name

First NameLast Name
Organization (if applicable)
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Workshop Information
Workshop Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Workshop Start Time

Hours, Minutes

AM/PM Option
Event Type
Birthday Events are weekend only
Request a Party
Workshop Address
Workshop of Interest
Celebratory Participant Name & Age (if applicable)
Ex. Khloe, 5; type N/A if this doesn't apply
Approximate # of Guests Participating
Any additional information we need to make your workshop special?
Ex. Event Theme or Colors, type N/A if none
How did you hear about us?
Our Terms of Service Payment Policy: Workshop fees are due at the time of contract signing. No entertainer or service can be held or guaranteed for workshop date until paymemt has been received. Paymemt can be paid via Cash, (e)Check, Money Order, and Credit Card. Check & Money Orders payable to The Lit Chemist, LLC.
I understand the payment policy detailed above and agree to the terms
I understand that a submission of this request form does not guarantee a reservation of a workshop.
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are you interested in mocktail services?
Any additional info we need to make your workshop special?
Ex. Event Theme or Colors; type N/A if none
Signature
Should be Empty:

The Lit Chemist Request Form

Personal Information

Workshop Information