SEED SONG FARM & CENTER

SEED SONG FARM & CENTER
Counselor in Training Application

For Seed Song Center's Spring Break and Summer Camp 2026

For ages 12-17
Name of Applicant *

First NameLast Name
Age of Applicant*
Date of birth*

MonthDayYear
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 Camp: March 30-April 30, 2026Week 1: June 29-July 3, 2026Week 2: July 6-July 10, 2026Week 3: July 13-July 17, 2026Week 4: July 20-July 24, 2026Week 5: July 27-July 31, 2026Week 6: August 3-August 7, 2026Week 7: August 10-August 14, 2026Week 8: August 17-August 21, 2026Week 9: August 24-August 28, 2026
Applicant signature*
Parent signature *
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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