Girls Rock! Canberra 2019 Camper Application Form
Thanks for applying to be a camper at Girls Rock! Canberra's spring program! Please answer all questions to the best of your ability. If you have any questions or feedback you can email us at girlsrockcanberra@gmail.com.

Location: Ainslie Arts Centre, 30 Elouera St, Braddon ACT
Time: Monday 30 September – Friday 4 October, 9am-5pm
Showcase: Saturday 5 October, 1-3pm at Ainslie Arts Centre

NOTE: Camper participation in the Saturday showcase is a mandatory part of attendance. As campers will depend on their bandmates to be there at rehearsals, please make sure the camper will be able to attend the whole week of camp.
Cost: $500 for the week, including morning and afternoon tea. Financial aid (including full and partial scholarships) is available on a needs basis.

What to bring: GR!C will provide all musical instruments and workshop materials, as well as daily morning and afternoon tea. Campers will need to bring a packed lunch and water bottle.

CAMPER APPLICATIONS ARE DUE BY MIDNIGHT MONDAY 9 SEPTEMBER.
We will confirm all placements by Tuesday 10 September and camper fees will be due on Friday 13 September.

Please Note:
Before filling out this application, make sure you have carefully read the application page on our website, plus the Camper and Guardian FAQs: https://www.girlsrockcanberra.com.au/faqs/

We are unable to predict the number of applications we will receive, but we assure you that we will do our best to find a spot for everyone! Please note, an application does not guarantee a spot and we confirm placements via email on Tuesday 10 September.

We strive to be as inclusive as possible. We promote respect and do not tolerate racism, sexism, homophobia, or other discriminatory behaviour or expression.

Camper Information
To be filled out by the camper or with help from guardian
Full Name *
Your answer
Preferred Name *
Your answer
Date of birth (xx/xx/xxxx) *
Your answer
Gender Pronoun *
eg. She/her/hers, They/them/theirs, He/him/his
Your answer
Address *
Your answer
What school do you attend? *
Your answer
Have you attended Girls Rock! Canberra before? *
Why are you excited to attend Girls Rock! Canberra? *
Your answer
What do you hope to get out of attending the program? *
Your answer
What (if any) ethnic groups do you self-identify with? Please list them below.
Girls Rock! Canberra welcomes people from all backgrounds. We ask you to disclose this information because it is useful in our reporting and helps us improve our camps in the future.
Your answer
T-shirt size *
As part of our band merch workshop, all campers will have the chance to screen print a t-shirt with their band. We will provide t-shirts for all campers - please let us know your size!
Preferred Instrument
This will be the instrument that you will play in instruction class all week. Please select your preference - 1 = first choice, 5= don't really want to play this. We will try to accommodate everyone's preference, but guarantees are not possible.
Electric Guitar *
Bass *
Vocals *
Drums *
Electronic Music *
What is your experience, if any, with your instrument of choice? *
Your answer
We love beginners! If you are a beginner, please tell us why you picked your instrument of choice.
Your answer
Are you right-handed, left-handed, or ambidextrous? *
Who are some of your favourite bands/musicians right now? *
Your answer
How did you hear about Girls Rock! Canberra? *
Your answer
Express Yourself Piece
|| OPTIONAL ||

Express yourself! To help us get to know you, please submit a creative piece with your application. The purpose of the piece is for us to get to know our prospective campers and find out why you're excited to come to camp. 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 e-mail us this piece to girlsrockcanberra@gmail.com, with '[Your Name] - Express Yourself' as the subject heading.

Parent/Guardian Information
This section is to be filled out by the camper's parent or guardian. 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.
Emergency Contact Information
To be filled out by a guardian
Contact Name 1 *
Your answer
Relation to camper *
Your answer
Mobile number *
Your answer
Work number *
Your answer
Email address *
Your answer
Contact name 2 *
Your answer
Relation to camper *
Your answer
Mobile number *
Your answer
Work number *
Your answer
Email address *
Your answer
Please let us know of any specific needs your camper may have in any emotional, behavioral, social, or learning areas: *
Your answer
Does your camper identify as having a disability and/or do they have any access requirements? *
Your answer
Does your camper have any medical conditions, allergies, or special needs the staff should know about? *
Your answer
Are they on any medication to treat any of the above-mentioned conditions? If yes, please list medication(s) and specify condition(s):
Your answer
Does your camper have any dietary requirements? *
We will provide daily healthy morning and afternoon tea for all campers.
Your answer
Financial Aid
Girls Rock! Canberra aims to be accessible to all participants, regardless of their financial background. Please tell us why you would like financial aid (full and partial scholarships are available, lunch is available on request) and how much you're able to contribute. If you'd like to discuss this further, please feel free to contact us at girlsrockcanberra@gmail.com
Your answer
If you are applying for financial aid, would you like your camper to receive lunch for the week?
Camper attendance
Girls Rock! Canberra runs from 9am - 5pm daily from Monday 30th September to Friday 4th October at Ainslie Arts Centre, 30 Elouera St Braddon. There is also a Matinee Showcase Concert from 1pm - 3pm on Saturday 5th October at Ainslie Arts Centre. Attendance at every day of camp is crucial to the success of each band. Please tick the box below to indicate both you and your participant understand this.
Anything else you'd like us to know?
Your answer
Lunch
Girls Rock! Canberra does not provide lunch for campers, unless requested. Campers need to bring lunch each day. We cannot provide refrigeration or re-heating for lunches. We will provide healthy snacks each morning and afternoon.
Media:
There will be a photographer present at Girls Rock! Canberra throughout the week, as well as at the showcase. A consent form will be sent out when placements are confirmed.
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