Private Standup Comedy Performance Questionnaire Private Standup Comedy Performance Questionnaire First Name * Last Name * Email Address * Cell Phone Number * Event Type Birthday party Wedding Anniversary Retirement party Baby/Bridal shower Bachelor/Bachelorette party Other If Event Type is 'other', please describe your event Name of Birthday Person/Couple/Bride/Groom * Hobbies or Interests of Person(s) Named Above Date of Performance * Starting Time of Performance * 121234567891011 : 0030 AMPM Street Address of Venue * State of Venue * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY ZIP Code of Venue * Audience Size * 1-10 10-25 25-75 75-125 125+ Audience Composition e.g., Friends, relatives, co-workers, etc. Do you/will you have a sound system including hand-held microphone? * Yes No If above is no, do you need us to provide one at no charge? Yes No Children present? * Yes No Maximum Comedy Content Rating * G Rated PG-13 Rated R Rated X Rated • G Rated: No swear words, no adult themes • PG-13 Rated: Little-to-no swear words, adult themes/innuendo • R Rated: Swear words (including F-word), adult themes/innuendo • X Rated: No holds barred, swear words, innuendo, graphic language and material Specific material to cover? * Yes No If specific material requested, names/people involved/short description of story Off-limit topcis (if any) Additional Comments or Notes If you are human, leave this field blank.