| ABOUT YOU: |
| Name: |
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| Organization (If applicable): |
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| Position (If applicable): |
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| Mailing Address (including zipcode): |
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| * EMAIL: |
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| * Retype Email: |
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| Work Phone: |
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| Home Phone: |
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| Cell Phone: |
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| Fax: |
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| ABOUT
YOUR CELEBRATION: |
| * Occasion: |
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| Guest of Honor's Name & Age (if applicable): |
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| Theme (if any): |
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| * Approximate Number of Kids
Anticipated: |
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| * Approximate Number of Total Guests
Anticipated: |
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| * 1st Choice Date of Event: |
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| 2nd Choice Date of Event: |
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| * Desired Start Time for Jenny to
Arrive: (NOTE: Available Start
Times on Weekends are: 10am, 1:30pm and 5pm): |
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| Anticipated Start Time of Event |
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| Anticipated End Time of Event |
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| Venue: |
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| Venue Address: |
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| * VENUE ZIP CODE |
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| Venue Website (if applicable): |
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| Venue Contact Name: |
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| Venue Contact Cell Phone#: |
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| Driving Distance from Boston,
MA: |
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| Would you like to add a Photo CD of the
Children's Painted Faces? ($25): |
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TECHNICAL REQUIREMENTS: |
| Can you provide human-generated directions? (From the nearest major highway
please.) |
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| Can you provide parking for Jenny adjacent to
an entrance for equipment load-in? |
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| If yes, where should Jenny park? |
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| If no, can someone valet Jenny's car? (standard transmission) |
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| Will there be any doors and/or stairs
between parking and entrance? |
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| If yes, can someone assist Jenny with
carrying equipment? |
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| Can you provide (lots of)drinking
water to Jenny throughout the event? |
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| Will food be provided for guests? |
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| If yes, can someone package a
MEAL-TO-GO for Jenny?: |
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| How did you hear about Jenny the
Juggler? |
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| Any other thoughts, questions or
requests you'd like to add?: |
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