Girls Rock Bloomington's AMPS (Adolescent Music Program Support) Registration 2025
Girls Rock Bloomington is excited to have our AMPS program for girls, trans and non-binary ages 15-17 back at summer camp* this year! AMPS (Adolescent Music Program Support) participants will be responsible for assisting teachers in instrument class (some experience in instrument of choice is strongly preferred) and will be assigned as a mentor to one of the camper bands. They'll have the opportunity to form their own self-directed band/duo/solo act to perform at the Final Showcase Concert (all gear provided during self-led practice time.) They'll receive mentorship from camp volunteers and camp director and will have the opportunity to create a self-led project documenting camp (zine, mini documentary, radio piece, etc.) Tuition cost is $200 (BIPOC community fund and sliding scale options available- email girlsrockbloomington@gmail.com for more info.) Snacks will be provided, participant must bring their own lunch and water. Participant must commit to reading the instrument instructor handbook (for instrument of choice) and band coach handbook, as well as coordinating via phone/email with their assigned instrument teachers and band coaches before camp begins. Participants must commit to modeling respectful and kind behavior as role models for the campers, as well as follow and help reinforce camp rules and guidelines. Participants must maintain appropriate and courteous behavior and relationships with campers and volunteers at all times. AMPS is a great chance for teens to gain experience in music/arts education, be an important part of a creative, supportive community and work on/perform their own original music with gear and practice time provided!

An email with information on how to pay will be sent out  at some point after you've registered (don't expect to hear from us immediately as we'll wait to send the email until camp is full.) If you have any questions in the meantime, feel free to get in touch at girlsrockbloomington@gmail.com. 

AMPS Daily Camp Sample Schedule:

9am-10am- Chat with campers, participate in morning discussion circle and ice breaker activity
10-11:30am- Assist in assigned instrument class
11:30-12:00pm- Eat lunch with the campers and watch lunch performers
12:00-1:30pm- Self-directed band/solo practice time while campers and volunteers are at lunch and workshop (leave band room ready for camper band)
1:30-2:45pm- Mentor in assigned camper band practice (with 2 adult band coaches)
2:45-3pm- Eat snack with campers
3-3:30pm- Work on self-led camp documentation project (TBD by participants)
3:30-4pm- Participate in afternoon activity/closing circle


*Girls Rock Bloomington is a five day camp for girls, trans and non-binary youth  that will take place the week of July 14th-18th 2025 at The Cook Center (750 E Kirkwood Avenue.) After a week of preparation in music lessons, workshops, Q&A's with professionals and forming bands of 3-5 members- campers will apply their newly developed skills by performing original pieces during a final concert on Saturday July 19th at The Cook Center. All instruments, amplification and basic gear will be provided at camp. Camp sessions will be held from 9am-4pm on Monday July 14th-Friday July 18th.  We will meet on Saturday July 19th at 4 pm for soundcheck, followed by the final showcase performance at 7 pm. 
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Email *
Participant Information
First and Last Name *
Nickname/Name participant prefers
Personal Gender Pronouns (Personal Gender Pronouns are the set of pronouns that an individual would like others to use when talking to or about that individual. Examples include she/her/hers, they/them/theirs, and he/him/his.)
Parent/Guardian's Email *
AMPS Participant Email (camp volunteers and camp director will be communicating directly with participant before camp to prepare) *
AMPS Participant Cell Phone Number (camp volunteers and camp director will be communicating directly with participant before camp to prepare) *
What is the best method of communication for participant? *
Participant's Date of Birth
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Participant's Age *
What school will the participant attend for the 2024-2025 school year and what grade will they be in?
Are any of the participant's siblings, relatives or friends registered for the camp too?  If so, please list their name(s)
T-Shirt Size (Adult Sizes) *
Emergency Contact Information
Emergency Contact #1 Name
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Relationship to Participant
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Primary Phone
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Secondary Phone
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Emergency Contact #2 Name
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Relationship to Participant
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Primary Phone
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Secondary Phone
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Instrument Class Selection and Final Showcase Performance Participation
What instrument class does the participant want to assist in? (Some experience on instrument strongly preferred but not required.) *
Tell us about what experience the participant has on the instrument from the class or classes they chose? *
Would the participant feel comfortable taking the lead on some of the instrument instruction in class or prefer to stay in an assistant role the whole time? *
Would participant prefer to play solo or in a group for the final showcase performance? *
What instrument would participant play either in a band or solo for the final showcase performance? (You can pick more than one) *
Required
Please further explain the participant's musical experience (Please include what instruments the participant plays, and for how long. Musical experience is not a requirement, and having never played an instrument is fine.)
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Has the participant performed before? (Band, choir, theater, music, etc.)
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What kind of music/bands/artists does the participant listen to?
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Does the participant have any requests for who they are in a band with? (Optional)
Has the participant previously attended any Girls Rock Bloomington programs before (camp, after school workshops, etc.)? *
Experience Working With Children
Does the participant have any experience working with children? If so, please describe. *
Why does the participant want to do AMPS? What are they hoping to gain from the experience? *
Does the participant have any special skills they'd like to offer as part of their work at camp? (Example: photography, videography, writing, visual art, zine making, etc.) If so, please describe.
Medical/Behavioral/Dietary Information
Does the participant have any medical conditions or allergies?
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If yes, please list:
Does the participant have any behavioral or emotional needs the staff should know about?
Will the participant need mobility, communication or other accommodations to fully participate in camp?
Clear selection
If yes, please describe your needs. We'll do our best to accommodate.
Does the participant have any dietary restrictions and/or food allergies?
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If yes, please explain:
Media and Liability Waivers and Code of Ethics Agreement
I grant permission to Girls Rock Bloomington and the Gayle Karch Cook Center the irrevocable and unrestricted right to produce photographs and video taken of myself or my child while at Girls Rock Bloomington for any lawful purpose including publication, promotion, illustration, advertising or historical archive by Girls Rock Bloomington and the Gayle Karch Cook Center. I hereby release Girls Rock Bloomington and the Gayle Karch Cook Center from liability for any violation or claims relating to said images or video. Furthermore, I grant permission to use the statements of my child, myself, or my family members given during an interview or evaluation with or without my name for the purpose of advertising and publicity without restriction to time limit or geographic area. I waive my right, my child’s rights, and my family’s rights to any and all compensation stemming from the use of these materials.
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In consideration of the acceptance of my application for Girls Rock Bloomington at the Gayle Karch Cook Center, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to myself or my child as a result of their participation in Girls Rock Bloomington at the Gayle Karch Cook Center.
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GRB AMPS Participant Code of Ethics Agreement: 

I do hereby confirm that I do not have a criminal background. I will not share photos of any campers on my own social media or privately (cover all children's faces with emojis if posting.) I will show up on time for camp and the final showcase performance. I will not be alone in a closed room with only one camper at any point throughout camp (if alone with only one camper keep door open at all times.) I agree to speak kindly and respectfully to all campers, volunteers and staff- including respecting pronoun usage requests. I will assist myself, campers and other volunteers in being quiet when announcements are made, presentations, performances, etc. are in session. I will keep the space clean and guide campers to be respectful of the space. I will report any incidents of bullying, discord or anything else of concern immediately to the Camp Director.  I commit to reading the instrument instructor handbook (for instrument of choice) and band coach handbook, as well as coordinating via phone/email with my assigned instrument teachers and band coaches before camp begins. I commit to modeling good behavior as a role model for the campers, as well as follow and help reinforce camp rules and guidelines. I will maintain appropriate and courteous behavior and relationships with campers and volunteers at all times.  I will uphold a welcoming and encouraging environment for all.
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Demographic Information (Optional)
What is the total household income of the participant's family?
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Please specify the participant's race
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Last Questions
I understand that participant must be available for all 5 days of camp (July 14th-18th) to participate.
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Required
I understand that the participant must be available for the final showcase performance on July 19th.
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Required
I understand that participants are responsible for their own transportation to and from camp and the final showcase performance. (Details to come on drop-off zone and parking for the showcase.)
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Are you eligible and interested in receiving free tuition via our BIPOC Community Fund? If so, email girlsrockbloomington@gmail.com to discuss more.
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Are you interested in paying extra to help cover the cost of campers or AMPS participants who need financial assistance? If so, please email girlsrockbloomington@gmail.com for more details.
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Anything else you'd like us to know? Further comments? Something we forgot to ask? Let us know below:
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