Keith Henderson
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Please complete this form and click on the submit button at the
bottom of the page to make sure I have all the information to make
your Birthday Party a complete and memorable Success!

Customer Phone: Event: (Day)
(Date)

Customer Address:

Customer Email:

Event Location: Event Location Phone:

Event Location Address:

Event Contact Person: Email:

Event Start Time: DJ Start Time: DJ End Time:

Number of Guests: Age Range: Will There Be Children? Yes No

Preferred Music During Cocktails or Gathering Time:
Easy Listening Piano Classical Contemporary Jazz Soft Top 40
Other Type of Music:

Would you like the Birthday Boy or Girl to be formally introduced? Yes No
(please type name or names as you would want them to be introduced)

Intro Music Selection:
Would you like a Introduction or other style:

Man or Boy's Name:

Woman or Girl's Name:

Birthday Boy or Girl to be introduced as:

Will Birthday Boy or Girl do a Formal Dance to Start the Event? Yes No
Birthday Boy or Girl Dance Song Selection:

Introduce Individual for Blessing or Grace before Meal: Yes No
(Individual's Name)

Will entertainer(s) be provided with meal?: Yes No (music always remains continuous)

When would you like to cut the cake:?

Will there be Speakers:? Yes No
Introduce Children or Someone Else for Toast? Yes No
Speakers Name(s):

Would you like participation or line dances? Yes No Maybe
ie. Electric Slide Macarena Las Ketchup "Soul Train"
Chicken Dance Hokey Pokey YMCA Cha-Cha Slide Hora
other:

Will we be doing a Slide Show or Video of Childhood Photos:? Yes No
If doing a Slide Showor Video, When:?

Would You Like a Closing Song?: Yes No
What Song Would You Like?:

Please enter any other Special Music, Notes, Directions or Comments that will help me provide you with a day that you and your guest will remember as Special:

Submit to Digital Sounds no later than three weeks before Event date.

If you have any questions, please call (336) 214-5829 or
e-mail me at KeithHenderson@triad.rr.com

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