Request My Services

Please complete the following form to request my services for your event. Please understand that I may already have another event confirmed that would prevent me from attending your event.

All fields with a * are required.

Name of Contact Person *

Phone Number of Contact Person *

Email of Contact Person *

Type of Event *

Date of Event *

Start Time of Event *

End Time of Event *

Street Address of Event *

City where Event will be held *

Briefly describe the event and what you are interested in having me perform

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Enter the CAPTCHA text from the image above *

Click below to send your request

Please note that this is not a contract and that I reserve the right to refuse to provide services to anyone.