Girls Rock n Roll Retreat 2022 Waiting List
Name of Camper:
*
First Name
Last Name
Age:
*
Camper Ethnicity/Race:
*
Weeks of camp available:
*
Ages 9 -12 for Session 1: July 11-15
Ages 12 - 16 for Session 2: July 18-22
Preferred Instrument Choice #1:
*
Please Select
Electric Guitar
Bass
Drums
Vocals
Keyboards
No preference
Preferred Instrument Choice #2:
Please Select
Electric Guitar
Bass
Drums
Vocals
Keyboards
Preferred Instrument Choice #3:
Please Select
Electric Guitar
Bass
Drums
Vocals
Keyboards
Name of Parent/Guardian:
*
First Name
Last Name
E-mail:
*
Phone Number
*
-
Area Code
Phone Number
Has your child attended Girls Rock n Roll Retreat in the past?
*
Yes
No
Other information you think we should know (optional)?
Thank you- we will add you to our waiting list and let you know if any spots open up!
Submit
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