POWER OF BOZO
I, _______________ , of _______________________, City of
___________________, County o_____________, State of
___________, do hereby appoint ____________________,
of ________________________________, my true and lawful BOZO IN FACT, for me and in my name, place, and stead, and for my use and benefit, to negotiate and enter into any bizarreness or weirdness in any location and at any time, with such persons and conditions as he shall in his discretion elect; provided that before he exercises any of the powers herein, he obtains my prior approval for such exercise by phone conversation between himself and me.
In the event that this phone conversation, wherein I grant my permission for the performance of strange behavior in my behalf, proves too difficult, too costly, too inopportune, or otherwise inconvenient to obtain, I hereby grant my BOZO IN FACT , at his sole discretion, the right to waive the prior phone call permission clause. I further grant unto my said BOZO IN FACT full power and authority to do every act (Natural and/or Unnatural) necessary and proper or improper to be done in the exercise of the foregoing powers, as fully as I might or could do if personally present.
The POWER OF BOZO shall become effective on _______________ And shall terminate on _________________ or when I get back to town, whichever is sooner.
Signed ______________ Notary_______________
Date ________________ Date ________________
Commission expires __________