Girls Rock Birmingham SUMMER CAMP 2024 Rocker Registration 
Register for camp! Camp is open to all cis girls, and trans and nonbinary kids ages 9-16. If you are aged 17-21 and are interested in applying for our GRB mentor program, please fill out that form HERE instead!

Camp will be held July 22-26, 2024 from 9:00 AM -4:00 PM (campers may arrive starting at 8:30 AM) at the Unitarian Universalist Church in West Homewood (4300 Hampton Heights Dr). After care is available each day from 4:00-5:15 PM for a small additional charge. Lunch and snacks will be provided! The Camper Showcase will be Saturday, July 27 at 3:00 PM (location TBD). Campers need to be present at both the weekday camp and the Saturday showcase!

Tuition for camp is $300 and after care is $50 for the week or $10 per day. Scholarships are available--contact us at girlsrockbham@gmail.com to request assistance. Your spot is not confirmed until we have full or half payment, or until we have a scholarship application completed by you and accepted by GRB.

Please provide the information below. Direct any questions about registration to girlsrockbham@gmail.com or call 205-317-1116 and we will answer as quickly as possible. Following acceptance to camp, you will be emailed additional release forms to complete as well. 
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 First Name of rocker *
Last Name of rocker *
Nickname *
"Goes by" name of rocker
Rocker's Preferred Pronouns
Birthday of rocker *
MM
/
DD
/
YYYY
Age of rocker on the first day of Camp *
Camper's school: *
Parent/Guardian name *
First and last  name of Parent/Guardian
Contact number *
Telephone number for primary contact purposes
Contact number for Rocker
Telephone number for camper (if applicable)
Primary contact email *
email address for the primary contact
Email contact for Rocker
email address for the camp attendee
T-shirt size of rocker *
Allow for shrinkage
Parent/Guardian Street Address *
City *
State *
Postal / Zip Code *
Tell us a little about your camper's personality! Please describe any behavioral, emotional, or developmental accommodations we should be prepared for. *
Any allergies or physical restrictions?
Rocker's Instrument Preference   *
First Choice
Rocker's Instrument Preference *
Second Choice
Please note which of the following instruments you own and can bring to camp *
You may choose more than one (owning an instrument is not required)
Required
What is the rocker's experience, if any, with their instruments of choice? *
Camper is: *
Rocker will attend: *
During camp, your rocker's band will work toward the performance of an original song at the showcase on Saturday. For rockers to have the best experience, it is vital for them to participate in both the camp AND the showcase with her bandmates. Please select what parts of camp you are available for. Preference will be given to campers who can attend all of camp and the showcase.
Required
How did you hear about Girls Rock Birmingham Camp? *
Required
Rockers, what types of workshops would you like to see? Some examples include rock fashion, band marketing/merchandise, music production, songwriting.
Rockers, is there anything else that you'd like us to know about you?
Are you willing to bring snacks for campers and volunteers one day during camp? Things like granola bars, muffins, or trail mix/popcorn, etc. If you select yes, you will be contacted with details about providing a snack. Thank you!! *
Photo Release:
We take lots of great photos and videos during camp and would love to use them in our media. Please check this box if you do NOT want your child's photo/video used by Girls Rock Birmingham. If you leave the box blank, we will assume it is ok to use!
Please select a payment method and then follow the Square link to pay: *
Required
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