Internal/Manual Update Form

This form is for Manual Booking for kids/family style shows like birthdays, school events, summer camps, fair/festivals, etc. over the phone.

Client Info

Full Name *

POC's Email Address *

POC's Cell Phone # *

POC - What is your title?

Company Info

Company - Name:

Company - Phone #:

Company - Website:

POC's Mailing/Billing address

Mailing/Billing Address

This booking request form is for "In-Home" Parties only. If you would like to book me at a venue outside of your home, please cancel this request & call me at 480-788-2329

Mailing/Billing Address Line 2

Please enter your apartment / suite number with number only - do not use hashtag (#)

Mailing City

I only perform in the Phoenix Metro area. If you would like to book me outside of the cities listed, please cancel this request & call me at 480-788-2329

Mailing/Billing State

Mailing Zip

Mailing/Billing Country

Event Description

Event Type

e.g - Kids Birthday Party / School Show / Summer Camp

Event Name

EG: XYZ's 3rd annual family fun night

Event Theme

Example: Magic, Princess, or Minecraft themed

Event - Date/Time

First Event Date:

Last Event Date:

Show - Load In/ Check In Time

Show - Start Time

Show - End Time

Show - Load Out/ Check Out Time

Event Location - Address

Event Location Name

Event Location Address

Event Location Address Line 2

Please enter your apartment / suite number with number only - do not use hashtag (#)

Event Location City

Event Location City Internal

Event Location State

Event Location Zip

Event Location Country

Event Location Phone

Event Location Room Name/#

Gated Community?

Gate Code

If I'll need a gate code to get to you, please share it here.

Audience details

# of Children Attending

This lets me know how many souvenir magic wands to bring + a few extra just in case

Age range of Children Attending

Example: 5-7 year olds

Special Requests from The Magical Mr. Rose

Special Request: Adult Volunteer

I do a fun routine in the show that requires an ADULT to join me on stage and consume a small amount of milk and an Oreo cookie. I usually pick the other parent (if willing) so it's a surprise. If the other parent is unwilling or unavailable I'll ask you for another adult who would be willing to have a little fun with me during the show.

Special Request: Milk will be provided

I used to bring my own milk but I've found people can be a bit wonky about milk. At a certain point in the show say "hey mom, you and I talked about something in your fridge. Could you get that for me please?" Just bring me the whole container (no glasses needed, I'll have those), I'll use about 8oz of milk and return the rest to you.

Performer Stage Name

The Magical Mr. Rose

Performer Legal Name

Christopher Rosenheim

Performer's Direct Cell Phone #

480-650-7883

Packages / Fees / Expenses

Client Budget

Performance Package (Name)

1 Hour Package

Performance Package (Custom Notes)

Performance Package (Unit Price)

$450

Performance Package (Quantity)

# of Shows

Performance Package (Subtotal)

$450

Extra Souvenirs (Unit Price)

Extra Souvenirs (Quantity)

Extra Souvenirs (Subtotal)

Discount

Performance Package (CC Fees)

$18.54

Performance Package (Total)

$450 / Custom

Retainer Fee - Amount (Subtotal)

$100 / or full amount

Retainer Fee - Amount (CC Fees)

$4.12

Retainer Fee - Date Due

Today's Date Long e.g: Sunday, January 1, 2025

Retainer Fee - Amount (Paid)

Retainer Fee - Method Paid

Paid Via Stripe

Retainer Fee - Date Paid

Today's Date Long e.g: Sunday, January 1, 2025

Balance - Amount (Subtotal)

$350 / Custom

Balance - Amount (CC Fees)

$14.42

Retainer Fee - Amount (Total)

$104.12

Balance - Amount (Total)

$364.42

Balance - Date due

Party Date Long e.g.: Sunday, January 1, 2025

Balance - Amount (Paid)

Balance - Method paid

Paid Via Stripe

Balance - Date paid

Additional Comments / Agreements

How Did You Hear of Me?

Additional Comments: (FROM client)

Is there anything else you'd like me to know about your party?

Additional Comments: (TO client)

Additional Comments: (office use only)

1st Show - Details/Notes:

2nd Show - Details/Notes:

3rd Show - Details/Notes:

4th Show - Details/Notes:

5th Show - Details/Notes:

6th Show - Details/Notes:

All Details (Notes)

Send Invoice *