Higher Ground Entertainment
Information Request Form
Date of Event
Month
January (1)
February (2)
March (3)
April (4)
May (5)
June (6)
July (7)
August (8)
September (9)
October (10)
November (11)
December (12)
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
First Name
Last Name
Email Address
Best number to reach you
Who do you want to work with?*
Not Really Sure
Speak with someone in the office
Ben Gershen
Freddy Centeno
Joel Brown
Lauren Tyndall
Mason Case
What type of event are you planning?*
Please select...
Wedding
Corporate
Mitzvah
Other / Private Event
What is your entertainment budget?*
Please select...
Under 2K
$2,000-$3,000
$3,000-$4,000
$4,000-$5,000
$5,000-$7,500
$7,500+
Not Really Sure
Venue Name:*
How did you hear about us or who sent you our way?
What can we do to make your day special?