Concert Request for a Friend or Family Member

If you would like to request a Swan Songs concert for a loved one, a friend or a family member, please complete and submit the form below.

To help us schedule musicians and support volunteers, we ask that requests be received a minimum of three (3) business days prior to the desired concert date and that performances be scheduled within four (4) weeks of the initial request. We'll make every effort to fulfill your musical wishes as soon as possible.
 

Swan Songs fulfills musical wishes at the end of life by organizing private concerts for individuals with a terminal illness. We provide concerts to one individual at a time; we do not provide general entertainment for a facility as does Symphony of Soul. Thank you so much for respecting this as you consider whether your request is in alignment with our mission.

Swan Songs works with many local hospices, nursing homes, and hospitals. If you prefer, you may contact a social worker, nurse, or other professional at your loved one's residence so that they can coordinate the concert directly with us.
 


 Your (Requester) Name and Contact Info   
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Title:
First Name*:
Middle Name:
Last Name*:
Address 1*:
Address 2:
City*:
State*:
Zip:
Email*:
Phone:
Cell:
Relationship to Recipient*:

 Recipient Name   
---
 
Title:
First Name*:
Middle Name:
Last Name*:

 Family Contact or Next-of-Kin   
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Family Contact: Yes   No
Is there a family member we can speak with about the recipient's
musical tastes (or preferences)?


If you selected Yes above, please provide the following contact info:.
First Name:
Last Name:
Relationship to Recipient:
Phone:
Email:

 Requesting Organization   
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Requesting Organization:

 Additional Recipient Information   
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Gender*: Male Female Unknown
Age Range*:
Ethnicity*:
Level of Awareness*:
Genre Preference*:
(other)
30's/40's/big band/swing
50's & 60's
50's/Elvis
70's soft rock
80's
90s
Adult Contemporary
African American Gospel
American songbook/standards
Barber Shop Quartet
Bluegrass/oldtime
Blues
Brazilian
Cajun
Celtic
Children's music
Choral music/acapella
Christmas
Classic rock/60's etc.
Classical
Contemporary Christian
Country
Country gospel
Country/honky tonk
Cowboy/old country
Cuban
Eastern European
Easy Listening
Folk
Folk rock
Folk/Americana
Funk
Gospel/hymns
Grunge
Hawaiian
Heavy metal
Honky tonk
Instrumental
International
Italian
Jazz
Jewish music
Latin
Mariachi
Mexican Ballads & Boleros
Motown
Native American
New age
New Orleans
Opera
Patriotic / Military Tunes
Polka/old country
Pop
Rancheros
Reggae
Rhythm & blues
Rock
Sacred
Show tunes/musicals/musical theatre
Singer-songwriter
Soul
Spanish
Spanish/Latin/mariachi
Spirituals
Standards
Swing
Tejano
Western swing
World music
Zydeco
Check as many as you'd like.

Instrument Preference*:
(no preference)
accordion
assistance (setup/breakdown/sound)
bagpipes
banjo
bass (upright)
bass fiddle
bass guitar
cello
clarinet
fiddle
flute
guitar
harmonica
harp
horns
keyboards
mandolin
mountain dulcimer
organ
percussion
piano
recorder
reeds
saxophone
steel guitar
strings
trumpet
violin
vocals
woodwinds
Check as many as you'd like.

Covers / Favorite Artists:
AC/DC
Adele
Al Green
Andy Williams
B. B. King
Barbra Streisand
Barry Manilow
Bette Midler
Beyonce
Billie Holiday
Billy Joel
Bob Dylan
Bob Wills
Bread
Bruce Springsteen
Buena Vista Social Club
Carly Simon
Carol King
Cat Stevens
Celene Dion
Charlie Rich
Christine Albert / Albert & Gage
Conway Twitty
Creedence Clearwater Revival
Crooner/Rat Pack
Crosby, Stills, Nash & Young
Dean Martin
Depeche Mode
Dolly Parton
Don McLean
Donna Summer
Elton John
Elvis Presley
Emmylou Harris
Enya
Fleetwood Mac
Frank Sinatra
Garth Brooks
George Gershwin
George Jones
George Strait
Glen Campbell
Hank Williams
Heart
Indigo Girls
J. S. Bach
Jackson Browne
James Taylor
Jimmy Buffett
Jimmy LaFave
Joan Baez
Joe Cocker
John Denver
John Prine
Johnny Cash
Joni Mitchel
Judy Collins
Julie Andrews
Julio Iglesias
Kenny Chesney
Kris Kristofferson
Lady Gaga
Led Zeppelin
Leonard Cohen
Linda Ronstadt
Loretta Lynn
Mahalia Jackson
Marvin Gaye
Merle Haggard
Metallica
Michael Jackson
Mozart
Nash Hernandez Trio
Nat King Cole
Natalie Cole
Neil Diamond
Neil Young
Patsy Cline
Pearl Jam
Perry Como
Pete Seeger
Peter, Paul & Mary
Prince
Queen
Ray Benson/Asleep at the Wheel
Ray Charles
Ray Price
Reba McEntire
Red Hot Chili Peppers
Robert Earl Keen
Santana
Shawn Phillips
Simon and Garfunkel
Smokey Robinson
Stevie Wonder
Super Tramp
Susan Boyle
Taylor Swift
The Beach Boys
The Beatles
The Carpenters
The Eagles
The Rolling Stones
The White Stripes
Tim McGraw
Tom Jones
Tony Bennett
Van Morrison
Whitney Houston
Willie Nelson
Wilson Pickett
ZZ Top
(Optional) If you don't see the artist here, please include them in the notes.

Language Preference*:
English
Spanish
Vietnamese
Chinese
Tagalog
German
French
Hindi
Urdu
Korean
Arabic
(other - please specify in notes)

Concert Date*: As soon as possible
At the convenience of musicians
From Your Notes:
for example, "On a Monday", or "Early next month", or "On a Weekend"
By Date:
date format: mm/dd/YYYY
Requested Concert Time*:
Musical Notes:

 Concert Location   
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  County*:  

Existing Facility:

You can specify the details in the Location Notes


New Facility:
Facility Name*:
Facility Type*:
Address 1*:
Address 2:
City*:
State*:
Zip Code:


Private Home:
Address 1*:
Address 2:
City*:
State*:
Zip Code:

Location Notes: