Get ready to apply
Melodic Caring Project
Rockstar Song Requests
What you get
A personalized welcome message and song, with additional song or artist requests after enrollment. Ask whether requests are open.
- Who starts it
- You
- How it’s sent
- Online, on their website
- Your time
- About 30 minutes
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Capacity, documentation, and response timing may change.
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What their form asksA preview, so you can gather things first. Fill it in on their site.
Open their application ↗ Checked Aug 27, 2026What the form asks for
New Patient/rockSTAR Sign-UpBy checking this box I certify that I am at least 18 years of age or am the parent or legal guardian of the person listed on this formRockSTAR NameRockSTAR Parent/Guardian NameRelationship to the rockSTARRockSTAR Contact EmailConfirm EmailPhone NumberParent/Guardian Phone NumberParent/Guardian EmailCityStateCountryIs the referred rockSTAR living with an acute or chronic illness? Please describeTreatment FacilityRockSTAR DOBGender (optional)Would you be interested in Sibling and Family Support ServicesWould you be interested in a Virtual Music Therapy SessionFavorite Songs/ArtistsAnything else you'd like us to know? Comments/QuestionsAre there any other programs you're interested inSend us a photo of yourself to share with our bands/artistsMay we share your photo with our artists and publicly (website/social media, etc)If Yes, what is your social handle(s) so we can tag youHow did you hear about usTell us how you heard about usBy participating in Melodic Caring Project’s programs, you are acknowledging these community guidelines and the nature of this peer support space
After you send
Returning patients may use the official returning form to choose a livestream, group session, 1:1 music-therapy session, or song request. If you have not heard back in two weeks, write and ask whether it arrived.