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Teen Apprentice Application
Application
Name of Applicant *
Your answer
Applicant's Age *
Your answer
Applicant's Birth Date *
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Gender
Applicant's Phone # *
Your answer
Applicant's email address *
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Applicants Grade Entering in Fall *
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Applicant's School District
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Applicant's T-shirt Size *
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Parent/ Guardian's Name *
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Parent/ Guardian's email address *
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Parent/ Guardian's phone number *
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Parent/ Guardian's Address *
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Secondary emergency contact *
Name/ Relationship/ Phone number
Your answer
Additional emergency contact person
Name/ Relationship/ Phone number
Your answer
I give my Child/ Children permission to go on short walks around the Bottle Works, the Cambria City neighborhood, and the Honan Trail. *
Required
Please list the adults who are allowed to drop off and/or pick up the teen during the week of camp: *
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Why are you interested in becoming a Teen Apprentice?
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In a few sentences, tell us about your interest in art and/or working with children
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How did you hear about Bottle Works Teen Apprentice Program?
If the camp week includes a field trip, do you give your child permission to attend? Please select yes or no. If you select yes, you the agree to the means of transportation and trip location.
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