APPLY TO CAMP

Summer Camp registration is currently full.

 

If you’d like to be on our wait list, fill out the application form below and click ‘Send’.
(Please make sure an adult has approved the application!)

 

RC4G 2017 session dates: Session 1 (for ages 10 to 18) – August 14-18

 

Applications will be considered on a first-come, first-served basis. No deposit is needed to get on the wait list.

 
Payment Method Options

EMT: We accept email transfers via your online banking.
Send EMT to rc4gpeterborough@gmail.com
PayPal: You can pay your deposit, or remaining balance, or full fee with PayPal after you complete the application, OR at anytime here:


Pay Registration Fees



Cheque: Cheques payable to RC4G Peterborough can be mailed or dropped off to:

RC4G Peterborough
751 George St. N
Peterborough, ON
Canada, K9H 3T2

 

The balance is due on the first day of camp.

 

FINANCIAL ASSISTANCE AVAILABLE!
Thanks to the financial support of our community, RC4G Peterborough is able to offer registration fee subsidies on a case-by-case basis. You can apply online using our Financial Assistance Request Form. The deadline for application is June 1.

 

If you’d like to make a donation to our camper subsidy fund, please contact us directly at rc4gpeterborough@gmail.com or leave a voicemail at 705-775-7057.

 

RC4G 2017 APPLICATION FORM

I would like to attend:*

CAMPER INFORMATION

Name:*
Age (at time of camp):*
Home address:*
Name of parent or guardian:*
Home phone:
-
Work phone:
-
Cell phone:
-
Email address (one that you check frequently):
Which is the best way to contact you?:*
How did you find out about camp?

INSTRUMENT CHOICES

Please indicate a first and second choice of instrument. We do our best to give everyone their first choice, but we need to have a balance of instruments to make bands and instrument instruction run smoothly.

First choice?:*
Second Choice?:*
Will you be bringing your own instrument to camp? (It's not necessary, but you may AT YOUR OWN RISK.):*
If yes, what instrument will you be bringing?:
Do you require a left-handed instrument?:

WHO ARE YOU, REALLY?

We'd love to know more about you! Please give us a brief description of your interest in music, who you like to listen to, and what you hope to get out of camp. (This can be sent separately to rc4gpeterborough@gmail.com):

SAFETY INFORMATION

Please let us know about any medical, emotional or behavioural issues or medications in order to allow our staff to best support this camper.*

EMERGENCY CONTACTS

First contact name:*
Contact phone:*
Relationship to camper:*
Second contact name:
Second contact phone:
(Second) Relationship to camper:

PICK-UP INFORMATION

Campers will be released at the end of the day only to authorized individuals. Please list the names of those who may pick up this camper. (If the camper is allowed to leave unaccompanied, please send a note on the first day of camp.)*

PUBLICITY WAIVER

Publicity Permission:*

NEED MORE INFORMATION?

If you need more information or have questions, let us know here. We'll get back to you as quickly as possible. (Or you can leave us a voicemail message at 705-775-7057.)

PAYMENT

Pay registration fee:

Pay Fees via PayPal

In cooperation with Sadleir House
Proudly sponsored by Roland Canada
With support from the City of Peterborough
Website proudly created by Artbox.ca
Fuelled by Public Energy
RC4G Peterborough is an affiliate of the Girls' Rock Camp Alliance,
an international association of girls' rock camps. That's right,
there are camps like RC4G around the world, from Portland, Oregon to
Hultsfred, Sweden. For information about girls' rock camps in other
regions, or to find out more about the activities of the alliance,
visit the GRCA website at www.girlsrockcampalliance.org.

Copyright © 2016 rc4g peterborough. All Rights Reserved