2017 GRASP Student Application
Beginning JANUARY 9th , we are excited to offer our GRASP (Girls Rock After School Program)! We run the first week of January 9th until March 16th. The showcase takes place on March 18th. Read on for details:

WHO: Girls and trans youth between 8 and 18 years old (3rd-12th grade). All musical experience levels are welcome at GRASP and we provide all of the instruments. No prior musical experience is necessary.

WHEN: Tuesday and Thursdays from 3:30-6:30pm* from January 9th  to March 16th. Students have the option of attending one day per week, Tuesdays or Thursdays only.

The showcase for all participants will take place on Saturday, March 18th from 2-5pm

 *Students are welcome to arrive between 3:30 and 4pm, depending on their school schedules.

Tuition is $0-$450 sliding scale for Tuesday and Thursday attendance and $0-$350 sliding scale for one day per week attendance, with no one turned away for lack of funds. Full and partial financial aid is readily available. If you plan on applying for financial aid, please fill in the financial aid application in addition to this application so that we can determine your tuition amount.

If you should have any questions or concerns please contact our outreach and program coordinator at shawna@bayareagirlsrockcamp.org or 510 267 1808 THANKS! YOU ROCK!
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First Name *
Last Name *
Street Address *
City *
State *
County *
Zip Code *
Are you applying to attend GRASP one day per week? *
Has the student attended GRASP before? *
What is students age at time of enrollment? *
Current Grade *
School Student Attends *
Name of Parent/Guardian *
Parent/Guardian primary phone number *
Parent/Guardian additional phone numbers
Parent/Guardian Email *
Student email
Student phone number
We typically send out registration and schedule information via email. If you prefer that we contact you by postal mail or phone instead, please indicate that here. *
First Instrument Choice *
Choose the instrument you'd most like to play. We'll do our best to make sure you get your 1st or 2nd choice.
Experience *
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 this instrument for the first time?
Second Instrument Choice *
Choose the instrument you'd most like to play. We'll do our best to make sure you get your 1st or 2nd choice.
Experience *
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 this instrument for the first time?
Has your student attended any of our previous programs? If you're new to Rock Camp just write in no. *
Please list the programs and years that you've attended.
Express Yourself Piece
We'd like to hear from potential GRASP students about why they want to participate. Please write a brief letter about yourself and why you want to attend GRASP (parents/guardians should not write this letter on behalf of the applicant). Write this letter in the space provided or email it to shawna@bayareagirlsrockcamp.org.
Are you applying for financial aid? *
It is our mission to be accessible to all students regardless of their families' financial situation. We offer a $0-$450 sliding scale tuition for Tuesday and Thursday attendance and $0-$350 sliding scale tuition for one day per week attendance. Applying for financial aid will not affect your chances of getting into a program and we encourage you to ask for assistance if you need it. We offer full and partial financial aid upon request, and no one is turned away for lack of funds. If you decide to apply for financial assistance, please fill out the financial aid application (separate) in addition to this application.
Do you participate in the free lunch program at your school? *
First Emergency Contact *
Name and relationship to student
First Emergency Contact Telephone Number *
Second Emergency Contact *
Name and relationship to student
Second Emergency Contact Telephone Number *
Does the student have any medical conditions, allergies, dietary restrictions or special needs the staff should be aware of? *
Is the student taking medication to treat a physical condition? *
Does the student have any behavioral or emotional issues the staff should know about? If yes, is the student taking any medications? *
We ask this so that we can be sure we are able to best serve our student and have adequate staff on hand if special attention is needed. In no way will this affect whether or not your camper is accepted into GRASP.
Are you interested in carpooling? *
If yes, write what area you are coming from in the "Other" space.
How did you first hear about our program *
Which of the following racial groups comes closest to identifying you? Check all that apply, and use the "other" box to share any additional ethnicity information. * *
We dislike checkboxes, too! They are helpful for reporting for grant purposes, though, so please bear with us.
Required
Liability Release and Media Consent
I understand that attending camp will involve activities such as, but not limited to, a loud environment, self-defense, active group games, using electrical equipment and moving heavy equipment and objects. I fully accept and assume all such risks and all responsibility for losses, costs and damages that may incur as a result of the camper's participation in camp activities.
Clear selection
In case of emergency, accident, illness, or other incapacity occuring while under the Camp's authority, I give my permission for the camper to be treated by medical professionals and admitted to the hospital if necessary.  This authorization applies whether or not the charges are covered by my insurance, and I am responsible for all reasonable medical and emergency expenses.
Clear selection
I authorize Bay Area Girls Rock Camp staff/volunteers to take audio, video and photographic recordings of this camper. Bay Area Girls Rock Camp shall own all rights to recordings and photographs, to be used and disposed of at the discretion of the Bay Area Girls Rock Camp.  
Selecting no means that the camper's band photo and video of their band's performance at the showcase will not be available to view online.  Audio, video and photos are primarily used for BAGRC brochures & flyers, and on our website. Camper names are never used without explicit parent/guardian consent; you will be contacted by a staff member before any names are used.
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