*First Name
*Last Name
*Email Address
*Phone Number
Event Date
Event Time ampm
Event Address
City
Some clients prefer the dancer not to be fully nude. Please select from the following. Fully NudeG-String Only
Please choose your preferred dancer from first to third pick. We will do our best to provide you with your first pick dancer, but due to individual dancer schedules we cannot guarantee your first choice dancer will be available.
