Muirlands Lunchtime Music Request Form
First Name? *
Your answer
Last Name?
Your answer
Grade Level?
What is the title of the song? *
Your answer
Who is the artist of the song being requested?
Your answer
If you have a recommendation for a theme day for music (e.g: Reggae), please list it below.
Your answer
Are the lyrics appropriate for school use? *
This means that there are no explicit or suggestive lyrics, innuendos, references, etc. This includes anything related to sex, drugs or alcohol, violence, etc. even if the song is played on the radio. Please proof lyrics (e.g.
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