Live performance request form. Please fill out and submit and we will get back to you ASAP for conformation, thank you...

Date of event Time of event Place (theatre/soundstage/banquet hall/ect.) Length of show Number of shows Number of people attending Theme of event (if any) Style of show
(ie. Middle Eastern,Exotica/expierimental,gothic/edgy,ect.)

Number of dancers:
Jenevieve as soloist
Jenevieve with individual X-magika performer
(please specify)or all of Jenevieve's X-magika Dancers

Music (D.J.,Live band or I provide) Budget Other pertinenet Information

Personal info:

Name:

Phone: E-mail:


Note: Please call or e-mail for availability of your requested date before paying a deposit.

If you do not hear from Jenevieve within 48 hours of submitting this form,please call 323 610 7303