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Healed By Goddess
Pole By Goddess
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Entertainer Inquiry Form
First name
*
Last name
Email
*
Phone
*
Single choice
*
Birthday
Bachelor/Bachelorette Party
Brand/Promo
Private Gathering
Other
Location
*
Date and time
*
Month
Day
Year
Time
:
Hours
Minutes
AM
How many hours am I needed for?
*
Will there be a pole on site or do you need one provided?
*
I have a pole
I'll need one provided
No pole necessary
Tell me about the vibe you're envisioning. Please note I am also able to provide less provocative performances.
*
Will you need additional dancers? If so, how many?
*
How did you hear about me?
*
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