BGRC Drag Retreat - Camper Registration
Calling all kiddo drag queens and kings! Join us at the Karate Church on April 5th - 8th from 10 a.m. to 3 p.m. each day for a complete drag boot camp. We will learn about drag culture and history while practicing our own drag performances to showcase at the end of the retreat. Let’s gather together to celebrate drag culture and put on BGRC's first-ever drag show!
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Email *
Camper Name *
First and last name
Camper Pronouns
Example: They/Them, He/Him, She/Her
Your name (& pronouns) *
Your relationship to camper *
Phone number *
(xxx) xxx - xxxx
Your address *
Please include city and zip code. 
How old is your camper? *
MEDICAL AND BEHAVIORAL INFORMATION
Please list all known medical conditions, allergies, behavioral issues, and emotional needs in detail. *
Note: This will not affect their acceptance into the program, and will help us to provide the necessary staffing and support. All information will be kept confidential and shared only with the camp staff as necessary to provide proper care for your camper.
Is the camper on any medication to treat these conditions? If so, please list.
Note: Medication can not be administered by camp staff or volunteers.
Is there anything else you feel we need to know about your camper in order to best accommodate their needs?
EMERGENCY CONTACT
First Emergency Contact *
Please indicate who should be considered as First Emergency Contact.
Required
First Emergency Contact's Name (& pronouns)
If not the Parent/Guardian listed above.
Relation to Camper
First Emergency Contact Number
(xxx) xxx - xxxx
Second Emergency Contact Name (& pronouns)
Relation to Camper
Second Emergency Contact Number
(xxx) xxx - xxxx
TUITION GUIDELINES
Tuition is due upon application. If tuition assistance is requested, we will contact you and confirm the amount of assistance we can offer. You will be asked to make your tuition payment upon receiving confirmation of your assistance amount.

Tuition can be paid via Cash, Check, Square Invoice, Venmo, or PayPal. Checks must be sent to PO Box 2031, Bellingham, WA 98227.
Camp tuition is $250 for each camper. 

BGRC offers a sliding scale option for tuition assistance. If you require no tuition assistance, please select "no assistance." If you require assistance, please select "other" and include the amount below.
 *
Please use this space to write in any additional information that you would like us to know regarding your request for assistance.
DEMOGRAPHIC SURVEY
Frequently, we are required to report on the demographics of our camp to funders, the Girls Rock Camp Alliance, and other agencies. All statistics are reported in aggregate and anonymously.

This information is very important and will not affect your child's admittance into the program.

Providing the following information will help us meet our goals. Thank you so much for your time and information!
1. Does the camper qualify for free/reduced lunch at school?
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2. Estimated household annual income
3. How many people live in your household?
Please list the number of adults and the number of children.
4. What race/ethnicity does your camper identify with?
Please check any and all that apply to your camper, or write their preferred identity.
CAMPER INFO
Has your camper attended a BGRC program in the past? *
What is your camper's experience with performing? *
Who is your campers favorite drag queen/king, performer, or musician?
What are some of your campers hobbies/interests?
What is your camper most looking forward to? *
Required
How did you hear about BGRC's Spring Drag Retreat? *
Is there anything else you would like us to know about your camper?
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