Face Paint Form

Name of contact *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date

MM

DD

YYYY

Time

Hour

Minute

Second

AM PM

Venue type

Where my station will be set up

Indoor (preferred)

Outdoor

Do you need me to bring my own pop-up canopy?

Yes

No

Do you need me to bring my own table?

Yes

No

Event location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Best phone number for day of event contact *

(###)

###

####

Additional charge disclaimer

If travel exceeds 20 miles outside of Coeur d’Alene, a $25 travel fee will be charged and due day of event

I understand