2019 Rockshop: Note to Self - Application Form

Rock n’ Roll Rockshop for Girls San Diego is a day-long workshop where girls ages 13-17 use music and multi-media art as a powerful way to communicate and collaborate while being guided by inspirational female mentors. In one day, participants team up and write original lyrics for their very own song! With the support of local musicians and artists, participants will add music and create visual art, while they explore themes of self-expression, self-care and empowerment! No music experience needed.

Rockshop includes:
- Collaborative songwriting experience with experienced mentors
- Includes lunch and snacks
- Opportunities for multi-media creation
- Develop lasting friendships through music and art making
- A Rock n' Roll Camp for Girls San Diego t-shirt and swag
- Meet and work with local musicians
- A recording of an original song, written by YOU and recorded by our incredible team of musicians

Rockshop dates & location:
Date: Saturday, October 19, 2019
Hours: 8am-6pm (Check in at 8am sharp!)
Location: Cinematic Arts & Sound, 302 Oceanside Blvd, Oceanside, CA 92054

Parents/Guardians are welcome to join us for the last hour, during which we will be listening to the participant's songs.

Rates:
Participant entry: $150
Includes participation in Rockshop, lunch & snacks, digital copy of final original song recording, t-shirt and swag-bag
What is the time commitment?
Please be sure you will be able to commit to the full day with Rockshop! It is important that participants arrive on time and remain all day in order to receive the full empowerment Rockshop experience and to be there for each other.
Our application process:
Step 1: You complete this application and click SUBMIT

Step 2: We will send you a confirmation email to let you know we have received your application within 48 hours.

Step 3: You pay your tuition. We will email you the link for you to pay your tuition. Your space will be reserved for 14 days. Your enrollment is not complete until your tuition is paid. If payment is not made within 14 days, we have the right to offer your slot to another participant. Friendly reminder: there are only 20 spots for our Rockshop!

Step 4: You will receive and email with additional consent and release forms that must be completed and submitted no later then September 20th, 2019. Participants may not attend Rockshop until these forms have been submitted.

Who can apply:
Rock n' Roll Camp for Girls San Diego welcomes girls, trans, and gender nonconforming participants ages 13 to 17 who want to rock out and feel empowered.

While our programming is guided by the experiences of girls and women, we are committed to creating an inclusive environment that supports and welcomes a wide range of marginalized gender identities and expressions.

There is no musical experience necessary and all instruments and tools for creative expression are provided for Rockshop.

The policy and intent of the Rock n’ Roll Camp for Girls San Diego is to provide equal opportunity for all persons regardless of race, color, religion, national origin, ancestry, marital status, political affiliation, sex, status with regard to public assistance, disability, age, veteran status, and any other status protected under federal, state, or local laws. We promote respect and do not tolerate racism, sexism, homophobia, or other discriminatory behavior or expression.

Refund Policy
The following is our policy concerning tuition refunds:
Cancellations before September 1st, 2019 are eligible for a 100% refund.
Cancellations from September 1st, 2019 to September 20th, 2019 are eligible for a 50% refund.
Starting September 20th, 2019 refunds are no longer offered.
Parent/Guardian Information
Name of parent/guardian: *
Your answer
Street Address: *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell phone: *
Your answer
Work phone: *
Your answer
Email you check frequently: *
For Rock n' Roll Camp for Girls SD use only, and never shared with anyone, ever. Email is our preferred form of contact. The email address you state below will be use to follow up with you about your application. If you do not use email simply state "none".
Your answer
How did you find out about Rock n' Roll Camp for Girls San Diego: Rockshop? *
Your answer
Additional Contacts in Case of Emergency
Please provide two additional people that we can contact in the event of an emergency.
1st additional contact name: *
Your answer
1st additional contact home phone: *
Your answer
1st additional contact cell phone: *
Your answer
2nd additional contact name: *
Your answer
2nd additional contact home phone: *
Your answer
2nd additional contact cell phone: *
Your answer
Participant Information
Please complete this information for each child that will attend rockshop.
Participant #1's first name: *
Your answer
Participant #1's name you prefer to be called by: *
Your answer
Participant #1's last name: *
Your answer
Participant #1's age at time of our camp: *
Your answer
What are your preferred pronouns?
Participant #1's date of birth: *
Your answer
Participant #1's grade in school this fall: *
Your answer
Participant #1's t-shirt size: *
All participants receive a Rock n' Rock Camp for Girls San Diego t-shirt. Please check the box below with the size you would like. If you need a size not listed please check the box that says "other" and we will contact you about your size needs
Required
Participant #1- Does the applicant have any known physical, psychological, behavioral or emotional conditions or issues that we need to be aware of in order to meet their needs and provide a supportive camp environment for everybody? Does the applicant have any medical conditions or allergies? If yes, please explain. *
Your answer
Participant #1- Has the applicant attended a Rock n' Roll Camp for Girls program before? *
Your answer
Participant #1- Musical experience is not required in order to attend Rockshop. It helps us to know about previous musical experience (if any) so we can provide appropriate instruction and support.
What experience does the applicant have playing a musical instrument or songwriting? Please name instruments and length of study
Your answer
Participant #1- Who is a female who inspire you and why do you admire them? *
They do not need to be associated with music or famous.
Your answer
Participant #1- Tell us about a fear or challenge that you have been faced with and how you overcame it. *
Your answer
Participant #1- How do you express yourself? *
Your answer
Participant #1- If you could play your music anywhere in the world where would it be and why? *
Your answer
Additional Participant Information
Please complete this information for your 2nd child that will attend camp.
Participant #2's first name:
Your answer
Participant #2's name you prefer to be called by:
Your answer
Participant #2's last name:
Your answer
What are your preferred pronouns?
Participant #2's age at time of our camp:
Your answer
Participant #2's date of birth:
Your answer
Participant #2's grade in school this fall:
Your answer
Participant #2's t-shirt size:
All participants receive a Rock n' Rock Camp for Girls San Diego t-shirt. Please check the box below with the size you would like. If you need a size not listed please check the box that says "other" and we will contact you about your size needs
Participant #2- Does the applicant have any known physical, psychological, behavioral or emotional conditions or issues that we need to be aware of in order to meet their needs and provide a supportive camp environment for everybody? Does the applicant have any medical conditions or allergies? If yes, please explain.
Your answer
Participant #2- Has the applicant attended a Rock n' Roll Camp for Girls program before?
Your answer
Participant #2- Musical experience is not required in order to attend rockshop. It helps us to know about previous musical experience (if any) so we can provide appropriate instruction and support.
What experience does the applicant have playing a musical instrument? Please name instruments and length of study
Your answer
Participant #2- Who is a female who inspire you and why do you admire them?
They do not need to be associated with music or famous.
Your answer
Participant #2- Tell us about a fear or challenge that you have been faced with and how you overcame it.
Your answer
Participant #2- How do you express yourself?
Your answer
Participant #2- If you could play your music anywhere in the world where would it be and why?
Your answer
Thank you for applying to Rock n' Roll Camp for Girls San Diego: Rockshop. You ROCK!
For the final step to your application just click the SUBMIT button below. We will notify you within 48 hours that your application has been received.
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