Legal Name of Camper *
Legal Name of Camper
Camper's Phone Number (If Available)
Camper's Phone Number (If Available)
Guardian's Name *
Guardian's Name
Guardian's Phone Number *
Guardian's Phone Number
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
Do you already have an instrument? *
If so, would you like to bring it to camp? *
$

Thank you for filling out this form, the last step is to complete payment for registration. We operate through PayPal, if you are paying via credit/debit card, or PayPal itself, simply click the "Buy Now" button below, and enter the fee you would like to pay. Otherwise, we also accept e-transfers sent to girlsrockcampnorthbc@gmail.com, or if you'd like to pay in cash, we are happy to arrange for pickup.