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


    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.