Coffeehouse Application

This Semester's Theme is: Around the World!


Just fill out the form below, and we will get back to you shortly.

If you would prefer a paper application, you can download a printable version below.




Name/Title of Performance:

What Kind of Performance is it:

List of Performers:

Contact Person (Only One Please)

Contact Person Name:

Contact Number:

E-mail:


Are you or is your group made up of...? (no effect on application):

Do you have any time conflicts from 7:00pm until 11:00pm on Sunday, December 6th?

How much time will your act need? Please be as specific as possible, don’t round off. Must be under 10 minutes

Do you need anything special? Check all that apply:

Piano

Pianist

Other Instrumentalist

Costumes

Props

Special Lighting

Sound FX

Scenery (chairs, etc)

CD Player

Microphones

Other (type below)

Anything else? Explanation? Love notes?: