2020 GRR Registration
This section is for parents/guardians to fill out. All responses to these questions will be held in confidence. This information is not used for screening purposes. The information is used to ensure we can accommodate your child’s needs and give your child the best week of camp possible.

If you have any questions about GRR registration email us at register@girlsrockregina.com
Email *
Camper details
Camper's first and last name *
Camper's age at camp *
Camper's birthday (D/M/Y) *
Camper's pronouns (she/her) (they/them) etc...
Caregiver's name *
Relationship to the camper *
Phone number *
Address *
Emergency contact name and phone number (if we can't get ahold of primary contact) *
Has your camper attended GRR before? *
What would be your camper's first and second choice for instruments? (We try to honour these choices best can, but cannot guarantee selection)
Put me anywhere!
First choice
Second choice
Clear selection
Will your child be able to attend the full camp week including the Saturday showcase? (this is mandatory to participate) *
Does your family require early drop-off or late pick-up during the week (camp runs 8:30 am to 4:30 pm)? If yes, please indicate your specific needs below (there is no extra charge for early arrival or late pick-up.) *
Camper needs
Will your camper be able to bring their own bagged lunch and water bottle? (We provide snacks and refreshments throughout the day) *
Does the camper have any allergies or other health information that we should know about?
How would your camper's disposition? For example: Introverted or extroverted? Do they like rigidity and structure, or is go with the flow more their style? What kind of environment helps them feel safe? *
Please speak to any behavioural/learning concerns (even if you think they are minor) and strategies that have helped your camper's performance.
What size of t-shirt does your camper wear? (unisex sizing) *
The suggested tuition fee for Girls Rock Regina is $300. However, we also offer a sliding scale and full sponsorship for those who need it. If you are in a position to and would like to pay more, your donation will help us bring campers who cannot afford tuition.

Please be honest when selecting the tuition amount that is most appropriate for your family based on your economic resources. We trust you to find a place on the sliding scale that works for your family while contributing what you can so that we are able to provide assistance to the maximum number of campers.

Camp fees can be paid by e-transfer or by cheque. Payment is due no later than Monday, June 22, 2020.
What will you be paying for camp? *
If you chose more than $300, what can you contribute?
If you chose partial payment, what can you contribute?
How will you be paying?
Clear selection
Full funding options
If you’ve requested full funding, we encourage you to first apply to Creative Kids (application below), by May 29, 2020. Girls Rock Camp Regina is considered a supported activity. If Creative Kids doesn’t work for your situation, please let us know and we will figure out further funding options. No child will be turned away because of financial need.


Will you be applying to Creative Kids?
Clear selection
Anything else we need to know?
Cancellation policy
If you cancel on or before June 22, 2020, you will receive a refund of $250. (Girls Rock Camp will keep $50 as an administrative fee.) If you cancel after June 22, 2020, or later, you will receive no refund.

Further information, including waivers and additional forms, will be emailed approximately two weeks prior to camp.
Code of conduct
We want camp to be fun for everyone! All campers are expected to follow a code of conduct decided by the group on the first day of camp. We do have additional resources (e.g. Counselling team) to help out with any issues that might arise. Girls Rock Camp Regina tries very hard to foster a cooperative and collaborative environment. Campers who are disruptive to others and who are not able to improve their behaviour with the assistance and resources that we are able to provide may be asked to stay home.

I agree with this code of conduct *
Media Release
I hereby authorize any images, video footage or audio taken in whole or in part, individually or in conjunction with other images, sound and video footage, of my child to be displayed on the Girls Rock Camp Regina website and other official channels and to be used for media purposes including promotional presentations and marketing campaigns. I also authorize the display and use of any media material created during Girls Rock Camp Regina.

I waive rights to privacy and compensation, which I may have in connection with such use of their name and likeness, including rights to be written copy that may be created in connection with video production, editing and promotion therewith.
I agree to the terms and conditions in the media release. *
A copy of your responses will be emailed to the address you provided.
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