SEED SONG FARM & CENTER

SEED SONG FARM & CENTER
Counselor in Training Application

For Seed Song Center's Spring Break Camp (April 11th-April 15th) and Summer Camp (June 28th- September 3rd)

For ages 12-16
Name of Applicant *

First Name Last Name
Age of Applicant *
Date of birth *

Month Day Year
Date
Address *
Name of Parent *
Parent's Email Address *
example@example.com
Parent's Phone Number *
Describe some of your current hobbies & interests *
Have you participated in any extra curricular school, team or club activities? Tell us about them below *
Do you have previous experience working with, babysitting or spending time with children? *
What makes you a good role model? *
Describe your relationship with nature and the outdoors *
Please select ALL weeks that you are available. Camp runs on Monday-Friday* from 9 AM- 3 PM. *

Spring Break: April 11th-April 15th Week 1: June 27-July 1 Week 2: July 4-July 8 Week 3: July 11-July 15 Week 4: July 18-July 22 Week 5: July 25-July 29 Week 6: August 1-August 5 Week 7: August 8-August 12 Week 8: August 15-August 19 Week 9: *Tuesday August 29-Saturday, August 27 Week 10: August 29-september 2
Applicant signature *

Clear
Parent signature *

Clear
Thank you for your interest in our counselor-in-training program. Our education staff will follow up with your application & be in touch with you.
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