Legal Name *

First Name

Last Name

Preferred Pronouns

she/her/hers

they/them/theirs

he/him/his

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

(###)

###

####

Have you volunteered with RCGOKC in the past? *

NO

2015

2016

2017

2018

2019

2023

Dietary Restrictions

Breakfast and Lunch is provided for volunteers at camp. Please let us know if you have dietary restrictions so we can find delicious options for you!

Vegetarian

Vegan

Gluten-Free

Kosher

Halal

None

Other

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Have you ever been convicted of a felony and or sex crimes?

YES

NO

Do you consent to RCGOKC running a background check on you?

YES

NO

Please indicate your predicted availability during the week of JULY 23th-28th, 2023, between the hours of 8:30 AM- 5 PM. Please be as specific as possible about which times and dates you are available if you select "Other" *

I am available full-time/ all-day, every day of camp

I am available in the mornings only, every day of camp

I am available in the afternoons only, every day of camp

I am only available on the weekend (Pre/Post camp Roadies)

Other

Please check ALL of the roles you are interested in. *

CAMP ROADIE/SUPPORT CREW (Mon-Fri at camp during the day to help with gear switchovers)

INSTRUMENT INSTRUCTOR (MORNING ONLY, ALL 5 DAYS)

BAND COACH (AFTERNOON ONLY, ALL 5 DAYS + SHOWCASE)

BAND MANAGER (AFTERNOON ONLY, ALL 5 DAYS + SHOWCASE)

DRAMA TRAUMA (must have counseling or conflict resolution experience)

WORKSHOP LEADER

SUPPORT (helping where needed: cleaning, workshop support, etc...)

If you chose INSTRUMENT INSTRUCTOR please check all instruments that you would be willing to teach.

Remember most campers are beginners and each instrument will have multiple instructors. In some cases instructors that play several instruments will float between classes.

GUITAR

BASS

KEYS

VOCALS

DRUMS

About YOU!

Check all boxes that apply

Language skills other than English

Certification in Standard First Aid

Certification in CPR

Certification in Education/Child Development/Counseling

Other

I understand that attending camp will involve activities such as, but not limited to, a loud environment, self-defense, active group games, using electrical equipment and moving heavy equipment and objects. I fully accept and assume all such risks and all responsibility for losses, costs and damages that may incur as a result my participation in camp activities. I hereby hold Rock 'n' Roll Camp for Girls OK (and it's board members) harmless for any liability and the above stated.

YES

NO

In case of emergency, accident, illness, or other incapacity occuring while under the Camp's authority, I give my permission to be treated by medical professionals and admitted to the hospital if necessary. This authorization applies whether or not the charges are covered by my insurance, and I am responsible for all reasonable medical and emergency expenses.

YES

NO

I authorize Rock 'n' Roll Camp for Girls staff/volunteers to take audio, video and photographic recordings of me. Rock 'n' Roll Camp for Girls OKC shall own all rights to recordings and photographs, to be used and disposed of at the discretion of Rock 'n' Roll Camp for Girls OKC.

YES

NO

Do you agree with this statement: "I understand and agree that my participation in Rock ’n’ Roll Camp for Girls OKC is entirely voluntary and without compensation, and that I am not an employee of the camp.

YES

NO