SEEDS4TOMORROW Summer Camp 2020 High School Intern Application

Applicant Information

Date of Application *

Date

Session Applying For

Session 1 (July 13, 15, 17) Session 2 (July 20, 22, 24)

Name *

First Name Last Name

Age *

Grade *

Current School *

Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Home Phone *

Area Code Phone Number

Cell Phone

Area Code Phone Number

Email *

example@example.com

Shirt Size *

Adult Small Adult Medium Adult Large Adult Extra Large

Parent/Legal Guardian Information

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Work Phone *

Area Code Phone Number

Cell Phone *

Area Code Phone Number

Email *

example@example.com

Emergency Contacts

First Emergency Contact *

First Name Last Name

Relation to Applicant *

Cell Phone *

Area Code Phone Number

Second Emergency Contact *

First Name Last Name

Relation to Applicant *

Cell Phone *

Area Code Phone Number