SEEDS4TOMORROW Summer Camp 2020 High School Intern Application

Applicant Information
Date of Application*

MonthDayYear
Date
Session Applying For

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

First NameLast Name
Age*
Grade*
Current School*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Email*
example@example.com
Shirt Size*

Adult SmallAdult MediumAdult LargeAdult Extra Large
Parent/Legal Guardian Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone*

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Email*
example@example.com
Emergency Contacts
First Emergency Contact*

First NameLast Name
Relation to Applicant*
Cell Phone*

Area CodePhone Number
Second Emergency Contact*

First NameLast Name
Relation to Applicant*
Cell Phone*

Area CodePhone Number