Name

First Name

Last Name

Name of Dancer

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

When is the headpiece required by?

What is your Budget?

Style of dance

for example Tap, Ballet, Jazz

Colour choices and other details

Please state any colour preferences or any other details you require for your headpieces here. If you have any photos or drawings of ideas please email them directly to me at kashka@gmail.com

Do you require any Special Features?

for example feathers, jewels