Camper's Full Name
*
First Name
Last Name
Camper's Pronouns
Camper's Date of Birth
*
MM
DD
YYYY
Applying for
*
Mini Camp (Ages 8-11 / July 7-12) General Applicant Wait List
Teen Camp (Ages 12-17 / July 14-19) General Applicant Wait List
Mini Camp (Ages 8-11 / July 7-12) Sliding Scale Tuition
Mini Camp (Ages 8-11 / July 7-12) BIPOC Scholarship
Teen Camp (Ages 12-17 / July 14-19) BIPOC Scholarship
If you selected NO above, please explain:
Parent/Guardian's Name
*
First Name
Last Name
Parent/Guardian Email
*
Parent/Guardian Phone
*
(###)
###
####
Camper's Phone
If applicable
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact Name
*
Adult other than parent/guardian listed above
First Name
Last Name
Emergency Contact Phone
*
(###)
###
####
School camper is attending in Fall 2025
*
Grade level camper is entering in Fall 2025
*
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
How many GRS camps previously attended?
*
0
1
2
3 or more
Experience with 1st instrument choice
*
No experience is necessary, but let us know what experience you have, if any. How long have you been playing? Have you had lessons? Have you played this instrument at camp before, or are you trying something new (we encourage that!)
Experience with 2nd instrument choice
*
Does your camper sing? Please check all that apply.
*
Please note, if you check the "yes, they can sing lead" box, there is a possibility that they may be placed in a band as a vocalist only, but there are no guarantees.
Yes, they can sing lead!
Yes, they can sing backup!
No, they would rather not sing.
If you responded YES above, what is their singing experience?
If you responded YES to free lunch, does your camper have any dietary restrictions or allergies? Please list them below.
Does the camper have any behavioral, medical, or emotional issues that the staff should know about? If so, please explain. Are they are taking any medications?
*
We ask so that we can be sure we are able to best serve our campers and have adequate staff on hand if special attention is needed.
How did you hear about GRS?
*
Word of Mouth
Internet Search
Social Media
Media/Presentation
Other
Which of the following best represents the camper's racial or ethnic heritage? Choose all that apply.
*
Native American or Alaskan Native
Black, Afro-Caribbean, or African American
Latinx or Hispanic American
Asian or Pacific Islander
South Asian or Indian American
Middle Eastern or Arab American
Non-Hispanic White or Euro-American
Other
With which of the following does your camper identify?
*
We use this information for grant reporting purposes. Thank you for your help!
LGBTQ2S+
Female
Male
Non-binary
Transgender
Immigrant
Refugee
Person with a Disability
Justice Impacted Person
Other
CAMPER EXPRESSION SECTION - FOR CAMPERS ONLY!
We'd like to hear from potential GRS campers about why they want to participate, what inspires them to play music, etc. THIS IS NOT FOR JUDGEMENT PURPOSES. Please have the applicant write a brief paragraph about themself (parents/guardians should not write this letter on behalf of the applicant). Applicants may also tell us why they want to attend rock camp through a drawing, painting, song, video, etc. They can type directly into the space below, or send it via email to girlsrocksacramento@gmail.com
Anything else you'd like us to know?