“Song of Love” Request Form

Child Info

(All fields with an * are required and must be filled in. Please make sure form is completely filled out before submitting it.)
Haga clic aquí para el perfil en Español.

Medical Info

Parent or Guardian Info

Where Should Song Be Sent

(Leave blank if same as parent or guardian address)

How Did You Hear Of Songs Of Love?

Publicity Release

I, the undersigned, hereby grant to Songs of Love Foundaton (Songs of Love) the right, license, and privilege to use my name, likeness, photograph, voice, and biography, as well as the "Song of Love" written for the above-named child in such a manner as Songs of Love shall deem appropriate, (including but not limited to fundraising, etc) in order to promote, advertise, and publicize Songs of Love and its charitable activities.
Click or drag a file to this area to upload.
If possible, PLEASE upload a photo of child. (max file size:10mb)

Also, you can download this form for email, fax, or mail by clicking here.
(Not all Firefox browsers support fillable PDF files. If this is the case download the form, fill it out and email it to: songwriter@songsoflove.org.)

Special Thanks to American Legion Child Welfare Foundation