Songs For Kids NYC Nomination

    Songs For Kids NYC is a music mentorship program for kids and young adults with disabilities and illnesses. 

    Fill out the form below to let us know you’re interested in being considered! One of our team members will be in touch shortly.

    IMPORTANT:

    • The person filling out this form must be 18 years of age or older! If you are under 18, please have a parent/guardian fill out this form with you.
    • Songs For Kids NYC is currently available in the Greater NYC Area.

    Applicant Information

    Name
    Birth Date
    Songs For Kids NYC serves kids and young adults from ages 10 to 39.
    The Songs For Kids NYC is currently available to families located in the Greater NYC Area.

    Parent/Guardian Information

    Parent/Guardian Name