The Pittsburgh Mermaid ®
Info Request
Name
*
First Name
Last Name
Email
*
Phone Number
*
Format: (000) 000-0000.
Requested Date / Start Time of appearance (subject to availability)
*
What is the purpose of the appearance?
*
Tell us in a few words why you'd like to have The Pittsburgh Mermaid® at your event.
Fees
*
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( X )
Up to One Hour (Private party)
$300.00
$
300.00
Up to 2 Hours (Private party)
$450.00
$
450.00
Up to 3 Hours (Private party)
$600.00
$
600.00
Up to one hour (Corporate event)
$500.00
$
500.00
Up to two hours (Corporate event)
$750.00
$
750.00
Up to three hours (Corporate event)
$1,000.00
$
1,000.00
Address of Event
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does this event /. appearance require the Mermaid to enter a body of water?
*
Yes
No
What is the deepest depth of the water?
*
Please Select
Below 3 feet
Between 3 and 5 feet
Between 5 and 7 feet
Over 7 feet
N/A
Describe the body of water
*
Please Select
Outdoor pool
Indoor Pool
Lake
Ocean
Other
N/A
Describe "Other" if selected above
Approximately how many people will be in attendance?
*
Please Select
Less than 10
Between 10 and 25
Between 25 and 50
Between 50 and 100
Over 100
Not sure
Will children be in attendance?
*
Yes
No
Approximately how many?
If children will be in attendance, what is the approximate age range?
*
Please Select
Under 5 years old
Between 5 and 10 years old
Between 10 and 16 years old
Mixed age ranges
No children will be present
Additional Notes
Submit
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