Campers Application - Girls Rock! Pōneke 2019

Kia Ora.

Please fill out this form if you would like to attend Girls Rock! Pōneke 2019, if you need help with any questions, email us at

We recommend the form be filled out with your parent/guardian. 40 placements for campers are available and we may not be able accept everyone who applies due to numbers. We will begin processing campers applications at the end of May and will get in touch with you.

Participants must be available for the programme during these times:

Camp week: Monday 8th July - Friday 12th January 2019, 8:45am - 4:00pm

Showcase: Saturday 13th July 2019, 1pm - 4pm

Applications are open until June 9th or until all placements have been filled.


- An enrolment fee of $250 will be taken once campers are selected to confirm your place. The fee includes morning and afternoon tea but campers must bring their own lunch. Please read our booking Terms and Conditions, available on our website.

- There is no overnight camping involved, the day will run from 8:45am- 4pm.

- GR!P is held in an accessible venue and is open to all young women, transgender and non-binary youth between the ages of 12-17 years old.

- Some scholarship placements are available for low-income families. You will be able to apply in this form.

- More information will be provided and collected to and from parents/ guardians once placement is confirmed.

Email address *
Full Name *
Your answer
Preferred name
Your answer
Preferred gender pronoun
(optional, more info:
How old will you be in July 2019?
Your answer
What school do you go to?
Your answer
What suburb/town do you live in? *
Your answer
Please tell us your ethnicity/iwi. We celebrate diversity! (e.g. Chinese-New Zealander, Maori, British-New Zealander, etc.) Note: GR!P welcomes people from all backgrounds. We ask you to disclose this information because we rely heavily on grants and it is required for grant reporting.
Your answer
Do you have any experience playing musical instruments or singing? If so, what instrument, for how long? (It's okay if the answer is no! Lots of participants will be playing instruments for the first time.) *
Your answer
What instrument would you like to learn at camp? *
Second choice *
Third choice *
Are you... *
GR!P supplies all necessary instruments and equipment, but you're welcome to bring your own instrument if you'd like. If you prefer to bring your own, please tell us what type it is, the brand, and the colour.
Your answer
What genre of music would you like to play at camp?
Your answer
What are some of your favourite songs or bands at the moment?
Your answer
Why are you excited about Girls Rock!? What do you hope to get out the week? *
Your answer
Is there anything else you would like us to know about you?
Your answer
Express Yourself! To help us get to know you, please submit a creative piece with your application. You could draw something, compose a song, design a poster, write us a story or poem, or record a video! Have another idea or just want to tell us a little more about yourself? That's cool too! Please send to Make sure to provide your name :)
You can either attach to email or you can use google drive and share the link with us. - If any issues, please state below.
Your answer
What is your t-shirt size? You can choose the Youth Tee or Unisex Adult Tee. For measurements, please visit AS Colour's website: *
Now, click "NEXT" for the Parent/Guardian Section. Your registration will NOT be received until the end of the Parent/Guardian Section is filled out and you click SUBMIT. Both sections must be filled out at the same time.
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