5th Grade Music and Dance Selection Form
Please fill out the questions below by Friday, March 6, 2020 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
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)
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This form was created inside of Lindenhurst Public Schools.