SEEDS4TOMORROW Summer Camp 2020 High School Intern Application

Applicant Information
Date of Application *

Month Day Year
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
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
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