SSESH Coffee House 2023 Performance Registration

SSESH COFFEE HOUSE 2023

Kindergarten through 8th-grade students are invited to submit their Coffee House act of 3 minutes or less to Ms. Grace via this form. Please provide as much information as possible. Auditions will be held during school hours.

Name of act:

Description of act [no weapons, no profanity, no offensive language]:

Music or other items necessary for act:

Performer(s) Information

Enter name(s) of the Student Performer(s) below, along with parent email address for contacting.

How many Student Performers? *

Student Performer Name: *

First

Last

Student Performer Grade Level: *

Name of Parent of Student Performer: *

First

Last

Parent Email *

Student Performer 2 Name:

First

Last

Student Performer 2 Grade Level:

Name of Parent of Student Performer 2:

First

Last

Parent 2 Email:

Student Performer 3 Name:

First

Last

Student Performer 3 Grade Level:

Name of Parent of Student Performer 3:

First

Last

Parent 3 Email:

Student Performer 4 Name:

First

Last

Student Performer 4 Grade Level:

Name of Parent of Student Performer 4:

First

Last

Parent 4 Email:

Student Performer 5 Name:

First

Last

Student Performer 5 Grade Level:

Name of Parent of Student Performer 5:

First

Last

Parent 5 Email:

I hereby submit the above act for inclusion in Coffee House 2023. I am aware that all acts are subject to approval by SSESH administration. I understand that the approval of parents is also necessary for all performers and separate permission forms may be required.

ELECTRONIC SIGNATURE: Please type your full name below. I agree that my Electronic Signature on this form is the legal equivalent of my written signature. Electronic Signature means any electronic sound, symbol, or process attached to or logically associated with a record and executed and adopted by a party with the intent to sign such record pursuant to the Texas Uniform Electronic Transactions Act (Tex. Bus. & Com. Code Ann. § 322.001 et seq.) as amended from time to time.

Full Name: