Summer Rock Camp 2023 Teen Mentor Application
Thank you for your interest in Teen Mentorship at Summer Rock Camp!
APPLICATION DEADLINE IS MAY 21, 2023

PROGRAM DATES - ATTENDANCE REQUIRED:

Teen Mentor Workshop Day:
Friday, June 16th

Summer Rock Camp Teen Mentor/Volunteer Orientation:
Sunday, June 18th

Summer Rock Camp:
Monday, June 19th - Friday, June 23th

Camper Showcase:
Saturday, June 24th

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Email *
Legal First Name *
Legal Last Name *
Preferred Name (if different than legal name)
Cell Phone *
Secondary/Home Phone
Home Address *
Home Address - City *
Home Address - State *
Home Address - Zip Code *
Mailing Address (if different than above)
Legal Guardian Name (if you are under 18)
Legal Guardian Phone Number
Legal Guardian E-mail Address
Which pronoun(s) do you use? (She/her, he/him, they/ them, ze/zir…)
Date of Birth *
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/
DD
/
YYYY
Age at Time Of Teen Mentor Camp (as of June 16th)
T-Shirt Size *
Have you attended previous Girls Rock New Orleans programs?
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Do you have any food allergies? If yes, please list.
Do you have any food preferences (i.e. vegetarian, etc)?
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