Girls Rock Whitesburg! 2019 - Camper Application
Thank you for your interest in WMMT's Girls Rock Whitesburg Summer Camp! We are looking forward to receiving your application. Please read it carefully – there is a lot of information and we cannot consider incomplete applications. Girls Rock Camp will take place July 29th - August 3rd. Girls Rock Whitesburg is open to girls, gender non-conforming, and trans youth ages 12 to 18 years old.

CAMP INFO:
Our mission is to empower girls, gender-nonconforming, and trans youth to believe in themselves by providing a supportive community that fosters self-expression, confidence, and collaboration through music education and performance. In a week-long summer session run by adult community volunteers, campers gain meaningful life experiences of collaboration, problem solving, self-expression, and social justice awareness in a creative, supportive environment.

Campers will meet and form bands, learn how to play an instrument (guitar, bass, drums, or vocals), compose original songs and perform live to hundreds of family, friends, and community members in the Appalshop Theater – all in one week’s time! Throughout each session, Girls Rock Whitesburg also provides daily workshops geared towards building self-esteem, encouraging self-expression and social justice awareness.

At Girls Rock Whitesburg, we seek to create a supportive community of peers and positive mentors that encourage and teach girls to be their own music heroes, allowing them to think differently about limits that may be placed upon them by our society. Our programming provides unique opportunities that are rarely found elsewhere: we use music as a vehicle to eradicate limiting myths about gender and age; we increase access and exposure to music education and hands-on learning; and our programming encourages collaboration, leadership skills, and self-confidence.

IMPORTANT DATES:
January 1st - Camp Applications Open
June 2nd - Camp Applications Close
June 3rd - Parents are Notified of either Acceptance or Wait List Status*
June 14th - Parent Confirmation of Camper Participation Due
July 29th - August 2nd - Camp Week
August 3rd - Showcase Concert

*We have limited space available, so please submit your application by the deadline, JUNE 2nd, 2019. It is very important that campers attend the full week of camp and the showcase, so they can participate in the entire program. If your child is unable to attend the full week, we ask that you consider applying again another time.

COST OF CAMP:
Girls Rock Whitesburg will be offering camp tuition-free. This includes instruments, materials for workshops, art supplies, camp t-shirts, band t-shirts, lunch and snacks for all campers, and dinner prior to the August 3rd showcase concert. Girls Rock Whitesburg receives most of our funding through grassroots fundraising. We rely on support from our community to run and grow our programming, so we welcome any donations whether monetary or in-kind.

HOW TO COMPLETE THIS APPLICATION:
•Please have the parent/guardian review these sections, and have campers fill out the section, "To Be Filled Out by Camper"
•Please note that we require every camper to submit an "Express Yourself" piece. We want to know more about you and why you want to attend rock camp. Applications are not complete until Express Yourself Pieces are received via email or postal mail.

Camper Name (First and Last) *
Your answer
Nickname/Name to be printed on camper's badge (Optional)
Your answer
Pronunciation of camper's name (Optional)
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age (at time of camp) *
Your answer
Home Address (Street Address, City, State, and Zip Code) *
Your answer
Is your mailing address different? *
If so, what is your mailing address?
Your answer
Name of Parent/Primary Caregiver *
Your answer
Parent/Primary Caregiver Phone Number *
Your answer
Secondary Phone Number
Your answer
Parent/Primary Caregiver Email Address *
Your answer
How did you hear about Girls Rock Whitesburg? *
Your answer
What school does the camper currently attend? *
Your answer
What ethnicity/ethnicities do you (camper) consider yourself? Select all that apply to you. (This question is included for the purpose of understanding and reporting our camp's demographics and will not impact your acceptance to camp.)
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