CLUB GRCB 2017-2018 Registration Form
Club GRCB is our year round program for girls in 6th-12th grades. During Club, youth form bands, write original songs, record their music, make music videos and perform at the end of the semester! Additionally, Club participants engage in a variety of arts, music, and social justice workshops, and instrument instruction. We are excited to partner with Brookline Teen Center this fall!

Who: CLUB GRCB will be open to girls currently in 6th-12th grade. CLUB GRCB is intended for youth who have some experience playing guitar, bass, keyboards, vocals or drums.

What: Instrument instruction, art, music, and social justice workshops. Form a band, write an original song, record your music. Make a music video, a band tee-shirt, and perform at the end of the semester. From 3-3:30 we provide snacks and homework help.

Where: Brookline Teen Center: 40 Aspinwall Ave, Brookline, MA 02446

When: Tuesday Afternoons 3:00-5:30pm.

Fall 2017 Semester: October 3rd - December 19th 2017
Spring 2018 Semester: February 6th - May 29th 2018

Please note: Girls must be able to commit to the entire session.

Tuition: Tuition for Club GRCB will be on sliding scale, please pay what you can between $0-$350 for CLUB GRCB per semester. The amount of tuition you are able to pay will neither increase nor decrease your chances of getting into a program. We encourage you to ask for assistance if you need it.

Application Process: We have a limit of 20 girls, divided by age groups. Priority will be given to Brookline residents and members of the Brookline Teen Center. Once we have received your application, we will be in touch shortly to let you know your application status. If the session is full, you will be placed on a waiting list.

If you have any questions about CLUB GRCB or the application process, please do not hesitate to email nora@girlsrockboston.org.

We are so excited to have you interested in our expanded programming. Now onto the application...

Full Name of Participant
Your answer
Which semester(s) are you interested in?
Current Grade of Participant
2017-2018 School Year - Girls MUST currently be in grades 6-12
Your answer
Age
Your answer
Parent or Guardian Full Name
Your answer
Address
street address, city, state
Your answer
School
Your answer
Parent or Guardian's Email Address
We rely heavily on email communication. PLEASE supply an email address that you check frequently to ensure all important information reaches you in a timely matter. If email is not your preferred method of communication, please indicated the best way to reach you below.
Your answer
Primary Phone
Your answer
Secondary Phone
Your answer
Work Phone
Your answer
Please indicate your preferred method of communication.
To ensure all important GRCB information is communicated with you in a timely matter, please indicate which method of communication is best for acceptance information and updates.
Has this youth previously been involved with GRCB programming?
If so, when?
Your answer
Which instrument(s) does your youth have experience with?
CLUB GRCB is currently intended for girls who have some experience playing an instrument.
Required
Please indicate which instrument would be your youth's preference:
Girls may need to be flexible to ensure all instrument groups are covered but we will try to have all girls play their first choice if possible.
Please explain the experience your youth has with the instrument(s) selected above:
Your answer
Why are you interested in joining Club GRCB?
We hope you are able to answer this question with your youth.
Your answer
Medical/Behavioral/Dietary Information
This information will have no impact on whether or not the applicant is accepted to Club GRCB. Our staff needs to be prepared to meet the needs of every participant, and make everyone's experience as safe and fun as possible.
Does the applicant have any medical conditions or environmental allergies?
If yes, please explain:
Your answer
Does the applicant have any behavioral or emotional needs?
Behavioral or emotional needs will not exclude a girl from attending GRCB programming. We need to know if we need to make available any additional accommodations or extra staff for everyone to have a safe and fun experience at GRCB. Please disclose anything that you think is relevant.
If yes, please explain:
Your answer
Does the applicant have any dietary restrictions and/or food allergies?
We tend to provide snacks in the afternoon.
If yes, please explain:
Your answer
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