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Girls Rock Camp 2018 Registration
Girls Rock Birmingham Camp helps girls build self-esteem and find their voices through unique programming that combines music education, performance & promotion; empowerment and social justice workshops; positive role models, and collaboration and leadership skill building.

We are thrilled that you are interested in attending this year's camp! Camp is for girls (and those who identify as female) ages 9-16. No previous musical experience is required in order to attend camp! There are two sessions you can choose from, and camp will be hosted by the Red Mountain Community School. Please Note that our showcases will be held on Saturday this year.

If you have any questions, please contact us at girlsrockbham@gmail.com

Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Camper's Nickname
Camper's preferred name, the name camper goes by
Your answer
Parent/Guardian Name *
Your answer
Primary Contact Email *
Your answer
Telephone Number *
Primary Contact Phone Number
Your answer
Parent/Guardian's Place of Work
Your answer
Age of Camper on first day of camp *
Your answer
Camper's Birthday *
MM
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DD
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YYYY
Camper's School *
Your answer
Parent/Guardian Home Address *
Your answer
Camper's Race
Optional
Your answer
Which camp session would camper prefer to attend? *
Note: You may only attend one session of camp
Required
How did you hear about Girls Rock Birmingham? *
Your answer
Campers, what types of workshops would you like to see; ie What topics or interests would you like to learn about? *
For example: self defense, zine-making, social justice, screen printing, etc.
Your answer
Campers, what else would you like us to know about you? *
Your answer
In order to reserve your spot at camp, a $50 registration fee is due now. How would you like to pay? *
This registration fee goes toward your tuition, and is nonrefundable
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