Lets Rock! Camp 2018 Application
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Hello! Thank you for your interest in Lets Rock! Camp (formerly Ladies* Rock Camp), and for taking the time to read & complete the application. Please know that all of the information you provide contributes greatly to our efforts to make rock camp a supportive and fun environment for everyone. We appreciate your participation in that effort!

This year, Lets Rock! Camp will take place from Saturday, October 6th to Monday, October8th (Indigenous People's Day Weekend) at Cathedral High School in Midtown Manhattan (350 East 56th street, NYC 10022)

Applying to Lets Rock! Camp is a 2-part process:

Part 1: Filling out this form!
Part 2: After reviewing your application, we will confirm your spot via email and ask you to submit your tuition payment. After payment, your registration will be complete.
*PLEASE NOTE: Application notifications will be sent on the 3rd Thursday of every month until the deadline*

We will only consider applications that are complete. If you have any questions, please call 347-599-0716 or e-mail info@williemaerockcamp.org.

CONTACT INFORMATION
First Name *
Your answer
Last Name *
Your answer
Preferred Name (if applicable)
Your answer
Preferred Gender Pronouns
Date of Birth *
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YYYY
Age
Your answer
Email *
Your answer
Primary Phone *
Your answer
Alternative Phone
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Home Community
EMERGENCY CONTACTS
First Contact's Name *
Your answer
Relationship to Self *
Your answer
Email *
Your answer
Phone *
Your answer
Second Contact's Name
Your answer
Relationship to Self
Your answer
Email
Your answer
Phone
Your answer
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