Waiting List 2017
Waiting list for Girls Rock Camp Birmingham 2017
Camper's will be added to the wait list and will be notified if and when spaces for camp become available.
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Parent's Name *
Your answer
Parent's Email *
Primary Email
Your answer
Parent's Phone Number *
Your answer
Preferred method of contact
Camper's Birthday *
Your answer
Camper's Age *
Your answer
Camper's Race
Your answer
Camper's School *
Your answer
How did you hear about Girls Rock Birmingham?
Your answer
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