STREAMS Night Registration
Please complete the following form to register for the the 2019 Lindenhurst K-5 STREAMS Night, taking place at Lindenhurst Middle School on Wednesday February 6, 2019, at 6:00 PM (Snow Date February 13)

*Please note that parents and children must travel together. This is NOT a drop off event, only those children that are registered for the event will be able to attend, thank you.

Parent/Guardian Full Name *
Your answer
Email Address- Prior to the event you will be receiving a registration confirmation to this address. *
Your answer
Parent/Guardian Cell Phone Number *
Your answer
Total number of family members attending for the night? Be sure to include all parents/guardians and students *
Your answer
How many Students Are you Registering? *
Name(s) of students *
Your answer
Grades of Student, Check all that apply *
Required
Schools They Attend *
Required
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