Date for Appearance:_______________ * Please Read the Note at the bottom of this page

Number to Attend: ____________ Age of Audience ____________ Show Time_________

Person Making Request: __________________________Title: ___________________

Name of Organization: ____________________________

Address of Location:______________ _______________________________________

City: Houston_______Zip:_______On site Contact’sname:______________________

Contact’s Phone:____________________Alternate Phone:________________________

Type of Appearance: (check one or more below)

( ) On-Lot (with trailer/Stage)                     ( ) Ceremony                      ( ) Photo Shoot

( ) In-Store                                                ( ) Fun Run                        ( ) Special Event-

( ) Festival/Fair                                          ( ) Hospital Please explain below

( ) Parade                                                  ( ) Ronald McDonald House

Detailed explanation of Special Event:_______________________________________________________________________________

___________________________________________________________________________________________________________

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Shows Available  ( ) Ronald Makes it Magic TM ( a magic show tailored to any audience

                              ( ) Get Moving with Ronald McDonald TM

          ( ) Meet & Greet (strolling)

Special Instructions/Notes/Directions: _________________________________________________________________________________

______________________________________________________________________________________________________________

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*Note: This is only a request and it does not guarantee your event has been booked. You will receive confirmation once the show has been booked.

Please fax request(s) to 713-223-2798. Please call Sue Hinkin @ 713-223-2788 for any further questions

To find more information visit Ronald at www.mcdonaldshouston.com