Girls Rock Vegas Summer Camp Application 2019!
Girls Rock Vegas accepts girls ages 9-17 to attend camp. Applicants of all musical abilities are welcome, from total beginners to advanced players. Camp will be held June 4-8 at The Delta Academy, 818 West Brooks Ave., North Las Vegas, NV 89030. Camp sessions run from 9:00 a.m. to 3:00 p.m. Campers MUST attend the entire camp day Monday through Friday, and the showcase concert on Friday evening.
First Name *
Last Name
Birth Date *
Address *
City *
State *
Zip *
Mailing Address (if different)
Parent/Guardian Name *
Parent/Guardian Email
Parent/Guardian Cell Phone *
Parent/Guardian Work Phone
Parent/Guardian Home Phone *
Emergency Contact *
Emergency Contact Phone *
Questions for Campers
How did you hear about us?
What school do you attend?
What music programs do you participate in at your school?
Indicate which instruments you are interested in learning to play. *
What instrument is your first choice? *
What instrument is your second choice? *
What instrument is your third choice? *
Do you feel comfortable singing in a band? *
Rate your experience on bass guitar *
Rate your experience on drums *
Rate your experience on electric guitar *
Rate your experience on keyboards *
What other instruments do you play?
Do you have your own instrument that you want to bring to camp?
Clear selection
If so, what instrument?
What is your t-shirt size? *
All campers receive a Girls Rock Vegas t-shirt
Tell us why you want to attend Girls Rock Vegas Summer Camp! *
You can write a paragraph, write about yourself, write a poem, etc. Just express yourself and tell us why you want to rock out with us this summer! You may also email a picture, video or other response to
Questions for Parents
Does your camper have any allergies, medical or emotional/behavioral issues camp staff should know about? *
This is important to assist us in providing the best care and supervision we can.
If yes, please explain.
Also list any medications that your camper requires at camp.
Racial/ethnic identity of camper (Optional)
Please check all that apply.
Do you speak another language besides English at home? If so, please indicate if you would like translated materials or an interpreter, and in which language.
Se necesita ayuda con traducciones y materials en espanol? Por favor, indica acqui y si hay otros idiomas que hablan en casa.
Is there anything else you would to include in your application?
I agree to arrive at The Delta Academy no earlier than 8:50 am, and to pick up my child no later than 3:00 from camp each day. I understand that attendance is essential to the success of my child and my child's band. As a result, I agree that Girls Rock Vegas may, at their sole discretion, dismiss campers, without refunding tuition, who fail to attend camp each day. I understand that I am responsible for providing all transportation for my child and that neither Girls Rock Vegas nor its staff can provide transportation to campers or parents. *
Parent Signature (typed) required.
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