5th Grade Music and Dance Selection Form
Please fill out the questions below by Friday, March 8, 2019 to automatically enroll your child in the music and/or dance program at Lindenhurst Middle School. These selections will be reflected in your child's 6th grade schedule. Please contact the Office of Fine and Performing Arts if you have any questions at (631) 867-3135 or email jtrapani@lindenhurstschools.org
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Student First Name *
Student Last Name *
Parent/Guardian Name (First & Last) *
Parent/Guardian Email Address *
Current Elementary School *
Music/Dance Selection in Middle School (check ALL that apply) *
Required
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