Booking Request Form
Share your details and preferred booking information to submit a request.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Event Date & Time
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Preferred Contact Method
Call
Text
Email
Event Name
Event Type (Birthday, Corporate event, Baby/ Bridal shower..)
Event Address
Estimated Attendance
Agreement
*
I understand this is a booking request and not a confirmed reservation
A non-refundable retainer is required to secure my date
Final guest count must be submitted before the event
I have read and agree to The Dirty Lemon's event policies
Additional Requests or Notes
Submit Booking
Should be Empty: