Nominate a rockSTAR
Do you know someone who could use a personal dedication of love + music? Simply nominate someone who you feel is a "rockSTAR" and we will send them some joy through music with a personalized video, song and dedication.
Name of rockSTAR you would like to nominate
First Name
Last Name
Age of rockSTAR
*
Your Name
First Name
Last Name
Your Phone Number
*
Please enter a valid phone number.
Email
*
Who would you like us to send the dedication to? Your email or the rockSTARS?
Confirm Email
*
example@example.com
Is there a specific song you would you like us to send and/or do you know some of their favorite artists? Also, tell us why you are nominating them to be a rockSTAR.
*
0/32768
Would you like us to say something to the rockSTAR on your behalf?
0/32768
How did you hear about us?
Please Select
Google Search
Social Media
Friend/Family
Hospital/Medical Staff
Other
Submit
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