Request Help from Musack

Do you know a child, teenager, or music teacher who lost musical instruments or equipment in the Los Angeles wildfires? Fill out the form to request help!

If you are requesting for a full music program, use our request form HERE and we will escalate the response time.

Name

First Name

Last Name

Email Address

Phone Number

Age of Recipient

Name of Recipient's Music Program or School

If the recipient is in school or music classes, type the name of the program here.

What are you requesting?

Include quantity and serial numbers of items lost if available

Is this a replacement to an item lost in a wildfire?

Yes

No

Will you agree to provide photo and video of the recipient with new instrument?

Yes

No

How long has the recipient been playing and how has music benefitted them?

How did you learn about Musack?

Request Help from LA Fires

Request Help from Musack