Name:___________________________

 Parent/ Guardians Name:___________________

 Address: ____________________

 City: ___________________

 Day Phone: __________________ (Please include area code)

 

Home Phone: ____________________.

 Cell phone: ______________________.

 Date of Event: _________________.

 

We usually charge approximately $40.00 a show, But all rates are negotiable.

 

Please call to alert us about this order form at 913-696-1935 or 913-362-9507.

 

GET SEDATED!