Girls Rock Camp Houston Virtual Session 2021 Application
Thank you for your interest in Girls Rock Camp Houston's annual summer session. We are looking forward to receiving your application. Please read it carefully. There’s a whole lot of information that we need in order to provide the best experience for all of our campers, volunteers and staff.

During virtual sessions, we encourage a parent or guardian to be nearby if possible, to offer support or guidance to their camper if needed.

Camp Dates: July 26th-30th, 2021
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Email *
Girls Rock Camp Houston 2021 T-Shirt
T-shirts for this year's session may be purchased online and will be shipped directly to you.  Access our shop at:
https://www.redbubble.com/people/girlsrockhtx/shop 
Camper Name *
Camper's Pronouns *
Camper's Date of Birth *
Camper's Age *
Home Address *
Is your mailing address different? *
If yes, please provide mailing address or N/A *
Does the camper own or have access to a personal device to use for camp, such as a computer, laptop, tablet or cell phone? *
Name of Parent or Guardian *
Primary Phone Number *
Secondary Phone Number *
Email Address *
Have you attended a rock camp before? *
Preferred Camp Instrument *
Are you left handed or right handed? *
Will you need to borrow an instrument from Girls Rock Camp Houston? *
Does the Camper have any Medical Conditions?  If yes, please list medical conditions or allergies. *
So that we may best serve your child, please let us know of any specific needs they may have in any emotional, behavioral, social, or learning areas. If none, please type, "No specific needs." *
Camp registration fee is pay what you can.  Please indicate amount paid below and submit payment at Paypal.com to: girlsrockhouston@gmail.com *
Parent/Guardian initials *
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