DIS 5th Grade Music Elective Request Form

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For ALL incoming DIS 5th Grade Students

Student's Last Name *

Student's First Name *

Parent Name *

Parent phone number *

Parent email address *

At Dover Intermediate School, we offer Band, Choir, and Orchestra as music electives. These classes are year long and meet 2 days per week for each course you select. You may enroll your child in up to a maximum of 2 music electives. However, you are not required to enroll your child in music. Please indicate your preference by selecting from the options below: *

Band

Choir

Orchestra

None

Required

If scheduling issues should arise, which music elective does your child prioritize? (Select one ONLY IF your child is enrolling in 2 music courses.)

Band

Choir

Orchestra

Clear selection

For students enrolling in BAND, please select the instrument your child will study. If different from the staff recommendation, please contact Mrs. Kelly Smith (smithkel@wlake.org)

Flute

Clarinet

Saxophone (*by recommendation only, due to staffing, class size, and ensemble limitations)

Trumpet

Trombone

Baritone (*by recommendation only, due to limited number of instruments available)

Percussion (*by recommendation only, due to staffing, class size, and ensemble limitations)

My child needs to schedule an instrument fitting with Mrs. Smith

Clear selection

For students enrolling in ORCHESTRA, please select the instrument your child will study. If different from the staff recommendation, please contact Mr. Mike Allan (allan@wlake.org)

Violin

Viola

Cello

Clear selection

Submit

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