First Name:

Last Name:

E-Mail:

Phone #1:

Phone #2:

Prefered Method of Contact:

E-mail

Phone

Both

Best Time To Contact You:

Morning

Afternoon

Evening

Occasion: Chinese New Year Christmas Party Grand Opening Wedding Birthday Parade Festival Association Meeting House Blessing Educational Demo Other

# of Lions Requested: 1 Lion 2 Lions 3 Lions 4 Lions 5 or More Lions

First Lion Color Preference: Red Lion Black Lion Gold Lion Pink Lion Orange Lion

Second Lion Color Preference: Red Lion Black Lion Gold Lion Pink Lion Orange Lion

Would You Like a Kung Fu Show With Your Lion Dance?

Yes

No

Is There Any Additional Information or Requests For Your Performance?

All information collected is for contact purposes ONLY. Your information will not
be sold or shared with ANYONE else. This information is used to assess a quote
for your requested performance as well as the overall performance venue.

A down payment is required to “lock-in” your performance date.
The amount of down payment will depend on the length and type
of performance requested.

Please Press Submit to Finish: