Rock Camp! 2021 Camper Application Form
Application for Girls Rock! Canberra's Rock Camp program, Monday 20 – Friday 24 September, 9am-3pm at Ainslie Arts Centre, Braddon.
Thanks for applying to be a camper at our spring Rock Camp program! Please answer all questions to the best of your ability. If you have any questions or feedback you can email us at girlsrockcanberra@gmail.com.

Location: Ainslie Arts Centre, 30 Elouera St, Braddon ACT
Time: Monday 20 – Friday 24 September, 9am-3pm
Showcase: Saturday 25 September, 1-3pm at Ainslie Arts Centre

NOTE: Camper participation in the Saturday showcase is a mandatory part of attendance. As campers will depend on their bandmates to be there at rehearsals, please make sure the camper will be able to attend the whole week of camp.

Rock Camp is for young people of marginalised gender identities ages 10-17 years old. This includes women (trans and cis), gender-diverse folk and trans-men. We recognise that gender is self-identified, and that there is a variety of language people may use to best express their experience of gender.
No prior music experience is needed - we welcome all musical abilities and genres!

Cost: $400 for the week, including morning tea. Financial aid (including full and partial scholarships) is available on a needs basis - we endeavour to meet all requests!

What to bring: GR!C will provide all musical instruments and workshop materials, as well as daily morning tea. Campers will need to bring a packed lunch and water bottle.


CAMPER APPLICATIONS ARE DUE BY MIDNIGHT Sunday 22 AUGUST.
We will confirm all placements by Wednesday 25 August and camper fees will be due on Friday 10 September.
Please Note:
Before filling out this application, make sure you have carefully read the application page on our website, plus the Camper and Guardian FAQs: https://www.girlsrockcanberra.com.au/faqs/

We are unable to predict the number of applications we will receive. Due to changing COVID-19 restrictions we have limited places this year so we encourage you to apply early. We will have a waiting list if we reach capacity. Please note, an application does not guarantee a spot and we will confirm placements via email on Wednesday 25 August.

While we usually welcome applications from interstate, because of the impact of COVID-19 and the uncertainty of border restrictions, we will be prioritising applications from Canberra and surrounding regions (ie. Braidwood, Yass, Goulburn).

We strive to be as inclusive as possible. We promote respect and do not tolerate racism, sexism, homophobia, transphobia, or other discriminatory behaviour or expression.
Camper Information
To be filled out by the camper or with help from a guardian
Full Name *
What would you like us to call you at camp? *
Date of birth (xx/xx/xxxx) *
What is your gender identity? *
We recognise that gender is self-identified, and that there is a variety of language people may use to best express their experience of gender.
Gender Pronoun *
eg. She/her/hers, They/them/theirs, He/him/his, She/They, He/They. We recognise that pronouns might be fluid and may change.
Address *
What school do you attend? *
Have you attended Rock Camp before? *
Why are you excited to attend Rock Camp? *
What do you hope to get out of attending the program? *
We believe in the importance of representation, do you identify as a person of colour and/or culturally and linguistically diverse?
Rock Camp welcomes people from all backgrounds. We ask you to disclose this information because it is useful in our reporting and helps us improve our camps in the future.
Clear selection
If you have selected yes to the above question, tell us more if you would like to.
Do you identify as an Indigenous or First Nations person?
Clear selection
If you have selected yes to the above question, tell us more if you would like to.
T-shirt size *
As part of our band merch workshop, all campers will have the chance to screen print a t-shirt with their band. We will provide t-shirts for all campers - please let us know your size!
Preferred Instrument
This will be the instrument that you will play in instruction class all week. Please select your preference - 1 = first choice, 5= don't really want to play this. We will try to accommodate everyone's preference, but guarantees are not possible.
Electric Guitar *
Bass *
Vocals *
Drums *
Electronic Music *
What is your experience, if any, with your instrument of choice? *
We love beginners! If you are a beginner, please tell us why you picked your instrument of choice.
Are you right-handed, left-handed, or ambidextrous? *
Who are some of your favourite bands/musicians right now? *
How did you hear about Rock Camp? *
Parent/Guardian Information
This section is to be filled out by the camper's parent or guardian. All responses to these questions will be held in confidence. This information is not used for screening purposes. The information is used to ensure we can accommodate your child's needs and give your child the best week of camp possible.
Emergency Contact Information
To be filled out by a guardian
Contact Name 1 *
Relation to camper *
Mobile number *
Work number *
Email address *
Contact name 2 *
Relation to camper *
Mobile number *
Work number *
Email address *
Please let us know of any specific needs your camper may have in any emotional, behavioral, social, or learning areas: *
Does your camper identify as having a disability and/or do they have any access requirements? *
Does your camper have any medical conditions, allergies, or special needs the staff should know about? *
Are they on any medication to treat any of the above-mentioned conditions that we need to know about? If yes, please list medication(s) and specify condition(s):
Does your camper have any dietary requirements? *
We will provide daily healthy morning and afternoon tea for all campers.
Financial Aid
Rock Camp aims to be accessible to all participants, regardless of their financial background. Please tell us why you would like financial aid (full and partial scholarships are available, lunch is available on request). If you'd like to discuss this further, please feel free to contact us at girlsrockcanberra@gmail.com
If you are applying for financial aid, would you like your camper to receive lunch for the week?
Clear selection
Camper attendance
Rock Camp runs from 9am - 3pm daily from Monday 20th September to Friday 24 September at Ainslie Arts Centre, 30 Elouera St Braddon. There is also a Matinee Showcase Concert from 1pm - 3pm on Saturday 25th September at Ainslie Arts Centre. Attendance at every day of camp is crucial to the success of each band. Please tick the box below to indicate both you and your participant understand this.
Anything else you'd like us to know?
Lunch
We does not provide lunch for campers, unless requested. Campers need to bring lunch each day. We cannot provide refrigeration or re-heating for lunches. We will provide healthy snacks each morning.
Media:
There will be a photographer present at Rock Camp throughout the week, as well as at the showcase. A consent form will be sent out when placements are confirmed.
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