Camper Application • Girls Rock St Pete

Please read (and check each box to acknowledge):*

Applicants must be available for ALL days of camp (including Saturday’s showcase) which runs Monday July 20 - Saturday July 25th. By checking the box, you are acknowledging you are available to attend each day of camp and the showcase. Attendance is critical, not only for your child’s experience, but for the experience of all campers.
The following application has two sections - one for the potential camper to complete and one for the guardian to complete. Any incomplete applications will not be considered, so please take your time to thoughtfully answer all questions.
Due to the limited number of spots for campers, unfortunately not all applicants will be accepted. Inside Tip: the GRC selection committee relies heavily on the “Express yourself!” portion of this application.
As part of GRC’s mission and core values, we strive to ensure our camp reflects the diversity of our beloved community.

Camper Section

This section is for the CAMPER to fill out. We want to learn more about their interests and what the want to learn in camp.
The Express Yourself portion is very important, please don't skip!!! Express yourself!

What is your name?*

What are you listening to these days? (bands/musicians/songs)

Do you play any instruments already? (it's okay if the answer is no!)

Yes
No

What instrument(s) do you play?

For how long?

What instrument would you like to play?

First Choice

Second Choice

Third Choice

Are you left handed or right handed?

Left handed
Right handed
I use both

Who inspires you and why?

If you could change the world, what would you change and why?

What are you most excited about camp? What are you most afraid of/nervous about?

Express yourself! Use this section to tell us more about yourself and why you want to attend Girls Rock Camp. Get creative! You can upload an original video, drawing, poem, lyrics, short story, etc. There’s a million ways to express how you feel and here’s the space to do it!

Instructions:

• Attach to this application.
• If files are too large email attachment to Grcstpete@gmail.com OR upload to Youtube, Vimeo, or WeTransfer.com
• If uploading to a third party site, email link to Grcstpete@gmail.com and include camper's first and last name.
• Look for a confirmation email within 24 - 48 hours. If you don't see it, we didn't receive the link. (always check SPAM!)

Drop files here or

If you'd like to complete the Express Yourself portion in writing, you may also opt to use this area, below.

Parent Section

This section is for parents/guardians to complete and is not shared. The information is used to ensure we can accommodate your child’s needs and give your child the best week of camp possible.

Camper's full name*

First Last

Camper's birthdate*

Camper's Age as of July 20th

Camper’s Preferred Gender Pronoun*

Why do we ask this?

How does your child identify? (Check all that apply)*

Asian
Black/African
Caucasian
Hispanic/Latino
Native American
Pacific Islander
Other

Parent or guardian's name*

First Last

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Emergency Contact*

First Last

Emergency Contact Phone*

What would you like us to know about your camper?

Parent Signature*

Camper Signature*