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Booking Form

INFORMATION OF CLIENT REQUESTING PERFORMANCE

name :

phone number :

email address :

best day/time to contact :

EVENT INFORMATION

date of event :

time of event :

address of event :

location phone number/web site :

location contact person(i.e. manager or staff member at location) :

location description(i.e. residential, hall, restaurant, night club, office, etc.) :

type of event :

type of audience(i.e. mixed adults, family, all men, all women) :

expected time of performance :

expected length of performance :

expected type of peformance :
select one belly gram 3 or 5 part cabaret demonstration/lecture private group lesson/performance
props preferred :

finger cymbals :		veil/s :		sword (performance sword only) :
wings of isis :		cane :		candles (electric only) :

belly dance music preferred : select one modern egyptian classical egyptian turkish gypsy-turkish armenian greek moroccan jewish pop/club

IF PERFORMANCE IS FOR BELLY GRAM (if not continue to next section)

name of belly gram recipient :

age of recipient :

type of event (i.e. birthday, retirement party, anniversary, etc) :

is this a surprise for the recipient? :

yes :

no :

what is your relationship to the recipient :

can a chair be arranged in the space allocated for the recipient so that the dancer can perform for the recipient and the audience? :

yes :

no :

can the recipient be fed grapes? :

yes :

no :

can the recipient be fed chocolate? :

yes :

no :

can the recipient be safely encouraged to get up and dance with the Belly Dancer? :

yes :

no :

can the recipient be dressed like a sultan by the performer (i.e. the performer can place a robe and turban on the recipient)? :

yes :

no :

will the recipient's significant other be present? :

yes :

no :

would the significant other be willing to participate (i.e. the performer would have her get up and dance with her at the end of the performance and/or sit with the recipient during the performance)? :

yes :

no :

HELPFUL INFORMATION FOR PERFORMER

will there be any infants or pets present? :

yes :

no :

has this audience/recipient ever seen a live belly dance performance before? :

yes :

no :

can the location accomodate an extension cord or electrical outlet for performer's
sound system? :

yes :

no :

will there be any lit candles present? :

yes :

no :

is the location indoors or outdoors? :

indoors :

outdoors :

will it be safe for the performer to dance barefoot? :

yes :

no :

approximately how many people will be attending :

please describe your expectations of this belly dance performance as fully as possible :