Performance Request Business Name * Business Address Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Name * First Name Last Name Email * Phone (###) ### #### Event Location Exact location where performance will happen. Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Proposed Event MM DD YYYY Start Time of Event Hour Minute Second AM PM End Time of Event Hour Minute Second AM PM What is your budget for circus entertainment? * How many performers do you anticipate needing? What type of acts are you interested in? Ground Based (Acrobatics, Juggling, Clowning, Hula Hooping, Stilt Walking etc) Aerial Based (Fabric, Hammock, Lyra, Rope, etc) Describe the event location. * Indoor, outdoor, ceiling height and any other details you think might be helpful. Describe the audience. * How many spectators are expected? is this a public or private event? Will the spectators be seated or roaming? Theme * What is the theme of this event? (Colors music, vibe) Message * Please include any other details Thank you!