Assistance Application

After submitting your application we will review it and get back to you via email.

The "It's About Kids" foundation holds ownership of all instruments during their use. Students are provided with the instruments at no cost for the duration of their participation.

Should a student choose to stop playing, the instrument must be returned to any Palen Music location. Alternatively, you can contact your school's music director to arrange for an on-site pickup at the school, if feasible. For a list of our locations, please see our contact page.
The student or family who receives a donated instrument is responsible for covering the cost of any necessary repairs or maintenance.

Student Name

First Name

Last Name

Student Age

Student Grade

Student Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Instrument

Parent/Legal Guardian Name

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Phone

(###)

###

####

School Information:

School Name & District

Director Name

Director Email

Director Phone

(###)

###

####

Principal Name

Checkbox

The student qualifies for the school’s free or reduced meal program

The student is officially enrolled at our school

The student participates or desires to participate in the instrumental program at our school.

The student has demonstrated a good work ethic in the classroom.

The student is in good academic standing.

The student has demonstrated an aptitude for music.

The student is a responsible young person who will show respect for the instrument.

The student’s parents or guardians have been unable to secure an instrument through conventional means.

This student has not, and is not, receiving an instrument from any other organization.

Assistance Application

Empowering the next generation through music, education, and community support.