So you've run out of excuses
and you're ready to take the plunge

Just complete the form below and you'll be on your way to a night of hilarious laughter
(Admit it, you're starting to grin already - aren't you?)
This form is a request for information only, and not a commitment to book Dan (although I'm sure you'll want to)
Note:  If the form does not work for you, simply e-mail Dan with your information

So, tell me who you are?

Street Address
Address (cont.)
Zip/Postal Code
Work Phone
Home Phone

Tell me about your event

What is the date of the event?

What time does the event begin

What time will I perform and for how long?

Estimate the size of the audience

Tell me about the people who will be attending (ages, sex, etc.)

Tell me about the room in which I will be performing:  size, type, etc.

Do you have any special requirements or requests for the performance?

Clowning Around Productions
Copyright 2007 All rights reserved.
Revised: 03/10/07