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Middle School Coffee House Application
WHEN: Friday, April 5, 2019
WHERE: Loring Center, 384 Court St., Plymouth (Zion Church)

After completing this form, students should send in a VIDEO of their performance to their music teacher. ALL ACTS MUST SUBMIT A VIDEO BY TUESDAY, MARCH 26th IN ORDER TO BE CONSIDERED FOR A SPOT IN THE COFFEE HOUSE. THERE WILL NO EXCEPTIONS TO THIS DEADLINE.

Name of Group *
Your answer
Applicants Names *
Your answer
Contact Email/Parent Email *
Your answer
School *
Music Teacher *
Your Performance
You can perform anything that would be appropriate for school and is reasonable for a small performance space. Some acts that have been proposed include a rock band acoustic set, an original song, poetry, monologue from a play, and stand-up comedy. All acts must be rehearsed. A copy of your lyrics, monologue, or other script, must accompany this application to make sure it is appropriate. If you need Mrs. Fuller or Mrs. Tyler to play piano for you please purchase music with a parent by going to: WWW.MUSICNOTES.COM
Name of Selection *
Your answer
Approximate Performance Time *
Your answer
Please describe your act, including each performer's role and what they will be doing/playing: *
Your answer
If your performance involves lyrics, please PASTE A LINK to the lyrics that will be sung. Please do NOT paste the LYRICS unless it is an original song *
Your answer
Equipment you will need
Please Note: Due to limited stage space, you will not be able to bring your own sound production equipment or drum set.
Number of Microphones *
Instruments *
Music Stands *
PCIS students: send your video to: OR
PSMS students: send your video to: OR

You will be responsible for obtaining any other equipment personally, or for talking to one of the teachers for anything in addition you would like to borrow from the school. If you or your parent/guardian(s) have any questions, please contact the Visual and Performing Arts Coordinator, Mr. Caple, at 508.830.4469.

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