Request Form
Reading, Writing & Rhythm® was founded by Chely Wright, the country music singer, to help provide musical instruments to small or rural school music programs in need.

Reading, Writing & Rhythm® is happy to accept all requests.   Due to our limited resources, we are unable to fill every request, but we will contact your school if we can provide assistance to your school.    Please complete the following form:

 

Gift Request Application Form

Name of School:

Address:


City:


State:   Zip:

Contact Name/Title:


Principal:


Music Director/Teacher:


Phone:


E-mail Address:

 
Musical instrument(s) or equipment needed:

 
Description of program:

 
Size of your school and community:

 
Number of children affected by the gift(s) we might be able to provide:

 
Please provide any additional information you would like us to know about your school, teachers, students, or your school music program needs: