SEEDlings 2019-2020 Application
Thank you for your interest in our SEEDlings after-school program! Please complete the form below and a staff member will reach out to you. If you have any questions, please email Herb at hthornton@seedsnc.org
Email address *
How did you hear about SEEDS? *
Your answer
Child's Name *
Your answer
Child's School *
Your answer
Child's Grade *
Child's Gender *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email *
Your answer
Self-reported household income *
Your answer
How many individuals live in your home? *
Your answer
Why is it important for your child to attend the SEEDS program ? *
Your answer
What is your family's connection to food? *
Your answer
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