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Adult Rock Camp Sampler 2023
Thanks for your interest in the Adult Rock Camp Two-Day Sampler! Spaces at this event will be filled on a first-come, first-served basis and there are limited spaces available for each instrument choice. Once you've completed this form, you will receive a confirmation email within a week. After receiving confirmation, a $25 registration fee of your $400 to $1000 sliding scale tuition will be due within two weeks; receipt of your payment will reserve your spot. All funds raised directly benefit financial aid for our youth programs. Note: Any amount you can give over $400 is a tax-deductible donation. Adult Rock Camp is a space for women, femmes, trans-masculine and gender non-conforming people. If you have any questions, you can check out our FAQ at, or contact us at (510) 267-1808 or email Below is a schedule of the two days: SPACE WILL BE LIMITED AND COVID PROTOCOLS WILL BE IN PLACE!

ARC will take place FEBRUARY 11th and 12th of 2023.

(schedule is subject to adjustment) 

SATURDAY February 11th

9:45 - 10:15:    Check-in/Breakfast
10:15 - 10:45:  Welcome & Introduction
10:45  - 11:15:  Band Formation
11:15 - 1:00:    Instrument Instruction
1:00 - 2:00:      Lunch
2:00 - 4:00:      Band Practice
4:00 - 5:00:      Showcase Info/Open Mic! 

SUNDAY February 12th
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First Name *
Last Name *
Pronouns you use (if any) *
Street Address *
City *
Zip *
Email address *
Phone Number *
Cell or work phone
What's the best way to contact you? *
What is your 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?
What is your second instrument choice? *
Age at time of ARC *
SURVEY: How did you hear about ARC @ Bay Area Girls Rock Camp? *
Please check all that apply
SURVEY:  Which of the following racial/ethnic 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 grant reporting, though, so please bear with us
Emergency Contact: First and last name *
Relationship to you *
Primary phone number *
Secondary phone number
 Do you have any medical conditions, allergies, or dietary restrictions? *
 Please tell us a little about yourself. Musical experience (if any), what you want to get out of the ARC weekend, and anything else you'd like us to know. *
What tuition amount are you able to pay? *
Tuition for the ARC sampler is $400 to $1000. Just like our youth programs, we want everyone to be able to participate! In an effort to ensure that we raise the minimum for our youth programs, please let us know how much you are able to pay to take part in the event. All proceeds directly support our youth programs.  Note: Any amount you can give over $400 is a tax-deductible donation. THANK YOU!
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