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 26th- September 1st)

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: April 3rd- April 7thWeek 1: June 26-30Week 2: July 3-July 7Week 3: July 10-July 14Week 4: July 17-July 21Week 5: July 24-July 28Week 6: July 31-August 4Week 7: August 7-August 11Week 8: *Tues August 15-Sat, August 19Week 9: August 21-August 25Week 10: August 28-September 1
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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