Pricing & Application |

Fees & Registration

For the month of December, you can attend camp for $150! You must submit the online application and your camp payment in order to guarantee a spot. Enrollment is limited and is first-come, first-served until all spots are filled. We accept payment in the form of check, credit card or PayPal. Girls Rock Dallas is a 501(c)3 nonprofit organization, and all donations made above full tuition are tax deductible, and much appreciated. Tuition, however, is not a donation, and therefore is not tax deductible. Checks payable to: Girls Rock Dallas Mail checks to: Girls Rock Dallas LRC Application P.O. Box 600387 Dallas, TX 75360 If making payment by credit card or PayPal, please call (817) 296-8504 or email girlsrockdallas.org Once we receive your application and payment we will confirm your enrollment via e-mail, phone or mail. One month before camp you will receive detailed information about LRC, including the full schedule, social events, and the showcase location.

I have read the Ladies Rock Camp 2013 info and I understand the refund policy. *

First Name *

Last Name *

Age * LRC is open to women 18 and up.

Home Address *

City *

State *

Zip *

Mailing Address If different than above

City

State

Zip

Email address *

Home phone

Cell phone *

What is the best way to contact you? *

Home Phone
E-Mail
Cell Phone
Other:

How did you hear about Girls Rock Dallas? * Please be specific (e.g. name of person, specific website or publication, etc.).

Do you have any medical conditions, allergies, dietary restrictions, or any other issues that the staff should know about? * Please describe reaction and authorized management of the reaction in the case of food allergies. All medical information will be kept confidential, and shared only with staff and kitchen staff as necessary.

Emergency Contacts

First Contact's Name *

First Contact's Relationship *

First Contact's Home phone *

First Contact's Work/Cell phone *

Second Contact's Name *

Second Contact's Relationship *

Second Contact's Home phone *

Second Contact's Work/Cell phone *

Instrument Choice (check only one per category!)

Please indicate your first, second, and third choice instrument on your registration form. We will do our best to accommodate everyone’s first choice instrument, but please be aware that, in order to have an even distribution of instruments among bands, participants are sometimes given their second, or, rarely, third choice. Please note that drum spots are assigned proportionate to overall enrollment.

Sign me up for anything - I just want to rock!

Sign me up for anything - I just want to rock!

First Choice - Level of Experience *

I have never played this instrument before.
I have been playing this instrument casually (on and off) or I played this instrument as a kid, but have not played it much as an adult.
I have played this instrument seriously for 3+ months.
I have played this instrument a lot / had previous lessons (1+ year(s) as an adult).

Second Choice - Level of Experience *

I have never played this instrument before.
I have been playing this instrument casually (on and off) or I played this instrument as a kid, but have not played it much as an adult.
I have played this instrument seriously for 3+ months.
I have played this instrument a lot / had previous lessons (1+ year(s) as an adult).

Third Choice - Level of Experience *

I have never played this instrument before.
I have been playing this instrument casually (on and off) or I played this instrument as a kid, but have not played it much as an adult.
I have played this instrument seriously for 3+ months.
I have played this instrument a lot / had previous lessons (1+ year(s) as an adult).

If you signed up for guitar or bass, will you be bringing your own instrument to camp? You are NOT REQUIRED to bring any instrument to LRC. We provide all instruments. Girls Rock Dallas does not accept liability for personal instruments.

Tell us about yourself

Please write a brief paragraph that tells us about your musical experience, why you want to rock and what you hope to get out of the Ladies Rock Camp experience. *

Workshops

In addition to instrument instruction and band practice, we will offer several workshops covering a variety of topics.

Please rate your interest in the following general workshop topics. * You are not signing up for any workshops at this time. We would like to see which workshops hold the most interest for our participants. At a later date, we will announce which workshops will be offered at LRC.

Are there any specific topics or issues that you would like to learn more about?

Never submit passwords through Google Forms.

	No interest	Somewhat interested	Very interested
Songwriting
Recording
Live Sound
DJ/Turntables
Music Business
Vocal Coaching
Screen Printing
Self Defense

Pricing & Application

Ladies Rock Camp 2013 Participant Application

Fees & Registration

Emergency Contacts

Instrument Choice (check only one per category!)

Tell us about yourself

Workshops

Donate

Upcoming Events

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