2019 Registration Form: GRNC Day Camp #3 (Rising 2nd–4th Graders) July 8–12, 2019
Thanks for taking the time to register here for Girls Rock NC's 2019 Day Camp for rising-2nd through 4th graders at Eno River Unitarian Universalist Fellowship in Durham (near Chapel Hill) from July 8th–12th, 2019. Camp days run from 9AM-5PM. Drop off is from 8:30-8:50AM, and we start the day promptly at 9AM. You can sign up for after camp care in this application, which extends the day to 6PM.

The camp showcase, which all campers will participate in with their bands, will be on Saturday afternoon the day after camp ends.

Summer 2019 Rock Camp tuition = $340/week. Tuition is due at the time of acceptance. An invoice, which is payable online, will be sent with the acceptance letter. We offer full and partial financial assistance, and you can apply in the Financial Assistance section on page 3. If you have any questions about payment and payment options, please get in touch with our Operations Manager, Dana Livermore at dana@girlsrocknc.org.

The primary reason for application rejection is lack of space for additional campers. If you are registering before April, you will very likely be accepted and we will work to get you official notice as soon as we can. Later in the Spring we may need to begin a waitlist, but that will be clearly noted on the website.

If you have any other questions, please feel free to email us at info@girlsrocknc.org.

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Legal Camper First Name *
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Preferred Camper First Name (if applicable)
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Camper Last Name *
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Camper Date of Birth *
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Camper's Grade in Fall of 2019: *
Parent/Guardian Full Name *
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Parent/Guardian relation to the camper *
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Parent/Guardian Primary Phone Number *
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Parent/Guardian Secondary Phone Number
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Parent/Guardian Email Address *
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Parent/Guardian Primary Address – STREET *
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CITY *
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STATE *
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ZIP CODE *
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Emergency Contact Full Name *
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Emergency Contact Relation to Camper *
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Emergency Contact Phone Number *
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