Girls Rock n Roll Retreat 2026 Waiting List
Name of Camper:
*
First Name
Last Name
Age (at time of camp):
*
Camper's race/ethnicity:
*
American Indian/Alaska Native
Asian American
Black/African American
Hispanic/Latina or Latino
Native Hawaiian/Pacific Islander
White/European American
Other
Reason for getting on waitlist:
*
Camp session is full
Camper didn't get instrument they wanted
Other
Additional information you'd like to add (optional):
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
Camper t-shirt size (for the band shirt they will screen print)
*
Please Select
Youth S
Youth M
Youth L
S
M
L
XL
2XL
3XL
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
Thank you- we will add you to our waiting list and let you know if any spots open up!
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