2019 South Sound Rocks! Application
This application will take 10-15 minutes to complete in most cases.

Your application will not be received until you select "Submit" at the bottom and see the confirmation message.

Although the required questions are indicated by a red asterisk, we ask that you answer every applicable question.
PROGRAM INFORMATION
South Sound Rocks! is a day camp for youth* ages 8-17. Campers spend the week connecting with music and their inner-strengths; learning instruments, writing original music with a band, exploring different styles and sounds, and delving into what it means to be a “strong” or “successful” person. At the end of the week, campers will perform their song with their bands at a local live music venue!

Campers do not need to have any prior music experience and instruments will be provided.

South Sound Rocks! Dates: August 5-10, 2018
Camp Venue: First Creek Middle School, Tacoma
Showcase: August 10

*All people who identify as female (cis or trans*) or gender non-conforming are welcome to be campers or volunteers in leadership positions at RCRC.
I read the "South Sound Rocks! Information" document on the application page of the website. *
CAMPER BASIC INFORMATION
Camper First Name *
Your answer
Camper Last Name *
Your answer
Preferred Name *
Name on badge at camp
Your answer
What is your camper's gender pronoun?
ie: she/her, they/them, zie/zir, etc.
Your answer
Birthdate *
(mm/dd/yyyy)
Your answer
Age At Camp *
Your answer
Camper School (for 2019/2020 school year) *
Your answer
Camper Grade (for 2019/2020 school year) *
Your answer
Has your camper participated in Rain City Rock Camp South Sound Rocks!, Summer Camp or another RCRC program, previously? *
If yes, which program and year?
Your answer
CAMPER MEDICAL AND BEHAVIORAL INFORMATION
Please list all known conditions so that we may accommodate your camper's needs. It is very important that all conditions are reported to us with detail. This will not affect their acceptance into camp and will help us to provide necessary staffing and support. All information will be kept confidential and shared only with the camp staff as necessary to provide proper care for your camper.
Does the camper have any medical conditions or allergies? *
Required
If yes, please list all known medical conditions:
Your answer
Does the camper have any behavioral or emotional issues? *
Again, it is very important that all conditions are reported to us with detail. This will not affect their acceptance into camp and will help us to provide necessary staffing and support.
Required
If yes, please list:
Your answer
Is there anything else you feel we need to know about your camper in order to best accommodate their needs?
Please be specific. ie: does she need extra breaks? More adult support?
Your answer
CAMPERS - TELL US ABOUT YOU!
Who are some of your favorite bands, musicians or styles of music?
Your answer
Please indicate your first, second, third, and fourth choices in camp instrument. *
We will do our best to give you your first choice, but to form bands we need a certain ratio of instruments. Not everyone will get their first choice of instrument, but every instrument is awesome!
First Choice
Second Choice
Third Choice
Fourth Choice
Fifth Choice
Guitar
Bass
Drums
Vocals
Keys
If you have any music experience or played music before, please tell us about it?
Please note: Instrument experience is not required.
Your answer
Are you right or left handed?
EXPRESS YOURSELF PIECE GUIDELINES
The Express Yourself Piece (EYP) component of this application is a way for our camp staff to get to know you better!

We are asking that all campers create something that exemplifies who you are and what the theme of the year means to you. This year's theme is "Rock It Like We Talk It." Camper submissions should incorporate what the theme means to them or how they "Rock It Like They Talk It" in their life. Please visit our website for more information about the theme!

The EYP can be in any format you choose, such as a painting, song, video, collage, etc. The more creative, the better! We are so excited to see what you come up with and may even feature your EYP on the RCRC Instagram page!
I understand that I must send in my Express Yourself piece (preferably by email to programsupport@raincityrockcamp.org) within two weeks of submitting my application. *
PARENT/GUARDIAN INFORMATION
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
If you are not accessible by email, please type "none"
Your answer
Home Phone *
(xxx) xxx-xxxx (if your mobile phone is your home phone, please enter the number in both places)
Your answer
Mobile Phone
(xxx) xxx-xxxx
Your answer
Work Phone
(xxx) xxx-xxxx
Your answer
What is the best way to contact you with routine information or questions? (Preferably to get a response within 48 hours) *
Our primary method of communication is email.
Is there another person you would like us to contact if we cannot reach you by the information you listed?
If so, please list their NAME and RELATIONSHIP to the camper.
Your answer
Alternate Contact Phone #
Your answer
Alternate Contact Email OR 2nd Phone #
Your answer
Are there any other email addresses that should be receiving email communication about camp? *
SLIDING SCALE TUITION
PLEASE READ!
A sliding scale is a tool that can provide equitable access to skill-building and life-long learning opportunities, regardless of financial resources. This method of payment requires active participation and personal reflection on what makes sense for your family’s financial situation, and how you would like to support learning in the Rain City Rock Camp community. The sliding scale is one way of acknowledging differences in wealth, income, costs, and privilege and actively address the economic disparities in our communities and society. Rain City Rock Camp is moving towards this model as a way to say ‘no’ to the ways things are and ‘yes’ to the ways we believe things can be, while providing an excellent rock camp experience for all.

Our scale is $425 - $5. At $425, our organization still subsidizes many costs involved with operating this program. If you would like to donate beyond this, you will be contributing to keeping camp accessible AND that donation is tax deductible!
Tuition Pledge *
Note: Anything over $425 is a tax deductible donation!
Your answer
Please provide more information about your answer above.
This will help us to better understand your situation. All information is confidential.
Your answer
I understand that enrollment notices are sent on May 30, 2019, and once confirmed, I must pay the tuition I entered, above, by June 14, 2019. Tuition can be paid online or sent to 117 E Louisa St #445, Seattle, WA 98102. *
Initial here to confirm you understand how to complete your camper's enrollment.
Your answer
DEMOGRAPHICS SURVEY
Creating a program that reflects the diversity in our communities is a priority. In addition, we are frequently required to report on the demographics of our program for grants, to contribute to statistics to our affiliate camps (GRCA) or other data collection purposes. Providing the following information will help us with accurate reporting.

This information is very important and will not affect your camper's admittance into camp.

Thank you so much for your time and information!
1. Does your camper qualify for free/reduced lunch at school?
2. Estimated annual household income
Your answer
3. How many people live in your household?
Please list the number of adults and the number of children.
Your answer
4. Please check any and all that apply to your camper, or write their preferred identity.
5. How did you hear about us? (Both for the first time and more recently?)
Be specific as possible, including names! (List friends, websites, news organizations, radio shows, etc.) We would like to know which areas of outreach are working for us, so the more detail you provide, the better!
Your answer
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