Text Box: Date_______________________________________Time___________________________________ Ocassion: Birthday Surprise Holiday Anniversary Other__________________________________ Contact Person____________________________ Ph#_______________________________________ get paid by ______________________________expect check? cash? Deposit made?________________________ refered by: LOCATION__________________________________________________________________________ DIRECTIONS: Audience: #________________________ Gender: Mixed-male-female Age_________________ Heritage: Arab Greek average American Persian Turkish Honoree____________________________ Performance Area: Stage area Raised? Audience on 1 2 3 all sides indoors / outdoors floor- wood / linoleum carpet-secure? concrete/brick other________________ Sound system- on premises Tape CD BRING PORTABLE?Electrical outlet close?bring cord The Dance: style of dance/costume- Cabaret ethnic specialties requested:snake, sword, cane, sultan How many sets____________ length of set________________ other dancers___________________________________ other performers (singers, musicians, DJ, magician)________ Dressing area: arrive dressed mirror, light, lock on door QUOTED PRICE________________________________________ send photo / brochure to: Debrief—– Client happy? Lessons learned—— Text Box: BRING Snake-heating pad? boom box caftan map tapes finger cymbals costume/s shoes make-up Text Box: business cards brochures sword sultan gear greeting card receipts Apprentice/Assistant?

Lynette of Snake’s Kin Studio

PO Box 39,
Fairfax, CA, 94978

(415) 455-8455, lynette@snakeskin.com