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 Mon. July 15 - Sat. July 20. 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. 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. 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 see what their interests are and what they would like to learn in camp. The Express Yourself portion is very important, please don't skip...

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!

Drop files here or

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! If you have any issues uploading files, you may also email this portion of the application to: GRCSTPETE@gmail.com. If you'd like to share video files, ask an adult to help you share your video with YouTube, Vimeo or WeTransfer.com and email the link to GRCSTPETE@gmail.com. (Please include your first and last name.)

f 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 Preferred Gender Pronoun*

Why do we ask this?

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

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*

Is there anything you'd like us to know about your camper?

Parent Signature*

Camper Signature*

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Camper Section

What instrument would you like to play?

Parent Section