Camp Registration

Registration for the 2016 Girls Rock Camp Houston is now open! Thank you for your interest in empowering young girls through music education. We are looking forward to a great 2016 session and can’t wait to tell you more as soon as possible!

Camper Registration Form

Registration deadline is July 1. The total cost to attend camp is $350. A non-refundable deposit of $125 is due at the time of registration in order to secure your spot. The balance ($225) is due in full no later than June 30. 

Student Name:
Student Nickname:
Student Birthdate: *
Student Age (at time of camp): *
Student Cell (if applicable):
-
Student E-mail (if applicable):
Student T-shirt Size: *
Parent/Guardian Name: *
Parent/Guardian Address: *
Parent/Guardian E-mail: *
Parent/Guardian Cell Phone: *
-

Camp Instrument


Student's Instrument Preference: *
What is the student's experience, if any, with your instruments of choice?: *
If you are a beginner, tell why you chose your instrument of choice.
I am: *
I am a: *
Please note which of the following instruments you own and can bring to camp: *
It is important to be at camp and the showcase for the entire experience for the student and her bandmates. My student will be able to attend: *

Camp Transportation:

Safety of our girls is of utmost importance. It's important for us to know how your child will be getting to and from camp, as well as with whom (if not you). We will not release a student to anyone that is not on this approved list or communicated as approved by you (the primary parent) prior to pickup.

Other than the parent noted on this form, who else is approved to drop off and/or pickup your student?


Approved Contact #1 Name:
Approved Contact #1 Cell Phone:
-
Approved Contact #2 Name:
Approved Contact #2 Cell Phone:
-
Approved Contact #3 Name:
Approved Contact #3 Cell Phone:
-
How will the student get to and from camp each day?: *

Payment Method

Admission to Girls Rock Camp Houston is on a first-come, first-served basis. A Medical Release and Emergency Contact Information Form is available on the website and should be completed and on file no later than June 30.


I will pay by: *

If paying by check, please make checks payable to:

Girls Rock Camp Houston
2217 Driscoll St.
Houston, TX 77019

Please include your camper's name and your phone number on the check.

Payment Options:
Word Verification: