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O'Keefe Music Foundation Application
Through the generosity of our donors, the OMF programs are FREE for students age 18 and younger.
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* Required
Name of Aspiring Rock Star!
*
Your answer
Age of Child
*
Your answer
Gender
Male
Female
Clear selection
First Name of Parent / Guardian
*
Your answer
Last Name of Parent / Guardian
*
Your answer
Email of Parent / Guardian
*
Your answer
Phone Number of Parent / Guardian
*
Your answer
Country of Residence
*
Your answer
State / Province
Your answer
City
Your answer
Musical Instrument(s)
Voice
Guitar
Drums
Bass
Piano
Strings
Other:
Please provide a youtube link to a sample performance.
*
Your answer
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