Girls Rock Charleston 2017 Camper Application
Thank you for your interest in Girls Rock Charleston’s summer camp! Please read and complete this application carefully. The first section is meant to be filled out by an adult and the second section is meant to be filled out by the camper. Camp is open to girls and transgender youth from 9 to 17 years old. Camp will take place at North Charleston High School from Monday, June 26 to Friday, June 30 from 9:00 am until 5:00 pm. All participants in the camp will perform with their band at the showcase on Saturday, July 1 at 2pm at the Charleston Music Hall.

Application Timeline

May 20th: Camper applications due
May 30th: Camper acceptance packets mailed
June 12th: Camper forms and tuition due
June 26th: FIRST DAY OF CAMP!
July 1st: Camper Showcase

Camp Info:

Carolina Youth Action Project is a grassroots nonprofit that uses music as a vehicle for social change and builds power among girls and transgender youth in Charleston, South Carolina. We develop feminist and anti-racist youth leaders through cultural organizing practices that blend music education, political education, and DIY media making.

Girls Rock Charleston’s Summer Camp is our longest running program. During the week campers take instrument lessons, write original songs in a band with other campers under the guidance of a band coach, and participate in daily workshops and assemblies. Workshops cover a wide variety of topics from songwriting to recording to self-defense. Our goal is for camp to be a place where all of our campers can bring their whole selves and contribute their own unique talents and experiences. We want all of our campers to celebrate themselves and have a meaningful and inspirational week at camp!

Camp activities begin at 9:00 AM and end at 5:00 PM each day. Campers can arrive as early as 8:30. Instruments will be provided to all campers and no musical experience is required!

We have limited space available for camp this summer, so please submit your application by the deadline on May 20. It is very important that campers attend the full week of camp and the showcase so they can participate in the entire program. If your child is unable to attend the full week, we ask that you consider applying again in the future to make room for other campers who are able to fully participate.

It is imperative to our mission and vision that we ensure our programs are accessible to and inclusive of youth and families of all backgrounds regardless of socioeconomic status, race, ethnicity, geographic location, ability, and experience. In an effort to create a camper population that reflects the diversity of the Charleston community, Girls Rock Charleston does not select campers strictly on a first come, first serve basis. In order to help families with planning for the summer, we will have a rolling admission process this year. Every two weeks we will accept a limited number of campers. If your camper is not accepted within two weeks of applying, this does not mean they cannot attend camp, they will be moved to the next round of applications. Please contact us with any questions about the application process.

Sliding Scale Tuition

We seek to support each child who wants to participate in Girls Rock Camp. We also recognize that not all members of our community have equal access to financial resources. One way we can acknowledge these economic differences and provide access to our programs for all campers is by providing sliding scale tuition. With our sliding scale tuition, each family is able to determine how much they are able to contribute to our program. We do not want tuition costs to deter anyone from applying to camp.

Contact Information
Camper Name
First and Last Name
Your answer
Camper Preferred Name
Your answer
Camper Date of Birth
mm/dd/yyyy
Your answer
Has the camper attended Girls Rock Charleston before?
Home Address
Your answer
Mailing Address
If different from home address.
Your answer
Guardian 1
Your answer
Relationship to camper
Your answer
E-mail Address
Your answer
Phone Number
Your answer
Guardian 2
Optional
Your answer
Relationship to camper
Your answer
E-mail address
Your answer
Phone Number
Your answer
Please list any medical conditions or allergies of which we should be aware
Your answer
Please list and elaborate on any behavioral, emotional or developmental issues of which we should be aware
Your answer
Please list any and all medications the camper is taking to treat the above-mentioned conditions
Your answer
Let us know if there are any significant circumstances or family situations affecting your camper that you would like to let us know about (for example: recent move or parents going through a divorce)
Your answer
Do you need assistance with transportation for your camper to or from camp?
Can you help provide transportation to other campers?
Would you be interested in carpooling with other families in your area?
What school does your camper attend? What grade will they be in next year?
Your answer
What T-shirt size does your camper prefer?
Specify youth or adult sizes
Your answer
Is your camper left handed?
My camper will be able to attend the full week of camp and the showcase.
It is very important that campers attend the entire week of camp as they are part of a collaborative project. Please talk to us if you camper is not able to make this commitment.
Your answer
How did you find out about Girls Rock Charleston?
Your answer
Tuition Information
Full tuition for the week of camp is $350. This includes instruments, materials for workshops, art supplies, camp t-shirts, band t-shirts, and snacks for all campers. Girls Rock Charleston receives most of our funding through program tuition and grassroots fundraising. We rely on support from our community to run and grow our programming.

Girls Rock Charleston uses sliding scale tuition to allow families to pay what they can for tuition. Factors to consider when determining the amount you can contribute include: total household income, number of dependents in the household (children or extended family members to care for), or extenuating circumstances such as medical costs or loss of employment. Our sliding scale system is based on trust. We use this system to ensure economic diversity among our campers and to make camp financially accessible. Please be honest when selecting the tuition that is most appropriate for your family based on your economic resources. We encourage you to contribute what you can. Any amount contributed over $350 is considered a donation and is tax deductible. Additional donations will help us cover the costs of another camper!

Annual Total Household Income = Suggested Tuition

Less than $25,000 = other or 0
$25,000 to $40,000 = $150
$40,000 to $80,000 = $350
More than $80,000 = $450 (full tuition plus a partial scholarship for another camper!)
More than $80,000 = $700 (full tuition plus a full scholarship for another camper!)

Requested Tuition Amount
We can provide lunch to a limited number of campers based on financial need. Do you need lunch provided for your camper?
Nondiscrimination Policy
Please read and enter your name below to acknowledge that you have read our nondiscrimination policy. If you have any questions about our nondiscrimination policy or the core-values of our organization, please contact us.

Carolina Youth Action Project values diversity and does not discriminate on the basis of age, race, economic status, gender expression, size, physical ability, developmental ability, musical interests, learning styles, nationality, religion, thought, citizenship status, and sexual orientation in the administration of its educational programs, admissions policies, scholarships and other camp related policies and programs, as well as volunteer and employment related policies and activities.

I agree to the non-discrimination policy.
Enter you name below.
Your answer
Media Release
Please enter your name below to acknowledge that you agree to our media release statement.

Any photos, recorded (audio or video) and written materials created for and/or during camp are Girls Rock Charleston property and may be used for promotional purposes in the future by Girls Rock Charleston and the Girls Rock Camp Alliance.

I agree to the media release statement.
Enter you name below.
Your answer
Why I Rock!
These questions should be completed by the campers so we can get to know them, their interests, and hopes and dreams for camp!
Have you ever attended Girls Rock Charleston Summer Camp or another Rock Camp before?
If yes, please tell us about your experience (when was it held, what instrument you played,what you liked and didn’t like, etc.)
Your answer
What is your preferred instrument to play at camp this summer? (no experience necessary!)
First choice
Second choice
Third choice
What experience do you have with these instruments? What other musical experience do you have?
Your answer
If you are 13 years or older and have three or more years experience playing an instrument, would you be interested in the role of instrument mentor for younger campers instead of taking instrument class?
What instrument would you like to mentor?
Your answer
Name your top three favorite musicians or bands.
Your answer
List three songs you would like to listen to at camp this summer (song and artist's name).
We prefer to play music by female musicians!
Your answer
What do you hope to learn at camp?
Your answer
At camp, we want other people to respect you for who you really are! What identities are important to you that you would like to share with us? Examples: person of color (Black, Asian, Latina), immigrant, genderqueer, gender non-conforming, tomboy, femme, artist, musician, nerd, sporty.
Your answer
What do you like to do outside of school? For example: do you play any sports, make art, take care of pets or siblings, or write poetry?
Your answer
We believe that young people (like you!) can help create change in their communities. What problems do you see that you would like to help solve? Are there any issues that you are passionate about?
Your answer
What is something surprising that you would like your counselors to know about you?
Your answer
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