To enhance the quality of our events and the experience we provide for our guests, please fill out the 1-min form below before purchasing your ticket to the 420 Speakeasy.

Name

Enter the name that appears on your ID or Driver's License

First Name

Last Name

Enter names of ALL guests under this order

GMAIL ACCOUNTS PREFERRED. THIS WILL BE THE EMAIL TO RECEIVE PASSWORD, LOCATION, AND HOUSE RULES.

Phone

(###)

###

####

Enter your birthdate:

Must be 21 and older

YYYY

To which gender identity do you most identify as:

What ethnicity/race do you identify as?

Do you work in the cannabis industry?

Which category best describes the sector you work in:

What is your annual gross level of income?

This information is used internally and will not be shared to the public.

Which of the following most accurately describes your occupational title in your company / organization?

If you belong to a local or national cannabis organization, please enter the name(s) here

Is this your first HUSH event?

What is your level of cannabis consumption?

Rate your ingestion (edibles) tolerance.

2.5mg or less (Micro-dosing is for me!)

2.5mg - 15mg (A little bit more goes a long way)

15mg - 30mg (Ok, just one more gummy please)

30mg - 50mg (Take my pain away!)

50mg - 100mg (Trust me, I'm a pro!)

Dont Know

I have never tried cannabis edibles before

Social Media Links or Handles:

(e.g. @hush_chicago or facebook.com/hushchicago)