Seeds of Caring 2023-2024 PLANT Program Registration Form
Parents and Guardians, please use this form to sign up your 11-14 year old (at some point between June 2023 - May 2024) for Seeds of Caring's 2023-2024 PLANT Program: Peer Leaders Aspiring for a New Tomorrow, formerly known as the Kid Leader Program. Any questions about the program or the registration process, please email: stephanie@seedsofcaring.org
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Child's First Name *
Child's Last Name *
Child's Preferred First Name *
Child's Birthday *
MM
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DD
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YYYY
Grown-up's First Name *
Grown-up's Last Name *
Phone Number (can belong to the Child or the Grown-up, but this is one we will call to reach you) *
Anything we should know about your child? (allergies, medical issues, dietary restrictions, etc.)
Child's Email Address (or leave blank if you want us to communicate through the Grown-up's Email Address only. Grown Ups will be copied on all formal communication)
Grown-up's Email Address *
Participant's Home Address *
Participant's T-shirt Size *
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