Jr. Seed Sowers Student Application | Operation Seed Sowers of America

Student Information

Tell us about the student joining Jr. Seed Sowers.

Student Name

Preferred Name

Date of Birth

Age (auto from birth date)

Grade

School

T-Shirt Size

Emergency Contact

Who should we call if there’s an emergency?

Name

Relationship

Phone Number

Medical Information

Help us keep your child safe during activities.

Does your child have any allergies?

Yes No

If yes, explain:

Medical conditions we should know about:

Current medications:

Does your child have any dietary restrictions?

Parent Questions

A few questions from a parent or guardian perspective.

1. Why would you like your child to participate in Jr. Seed Sowers?

2. What are your goals for your child during this program?

3. Is there anything we should know to help your child succeed?

Parent Permission

Please read and sign to authorize participation.

I give permission for my child to participate in Jr. Seed Sowers activities and understand that reasonable safety precautions will be taken during all program activities.

Parent/Guardian Signature

Date

Media Release

Choose your photo and video preference, then sign.

I give permission for photos and videos of my child to be used for Operation Seed Sowers publications, social media, promotional materials, and the organization's website. I do not give permission.

Parent/Guardian Signature

Date

Parent/Guardian Information

How can we reach you?

Parent/Guardian Name

Relationship to Child

Address

City

State

Zip

Cell Phone

Home Phone

Email Address

Preferred Method of Contact

Phone Text Email

Student Questions

Please have your child answer these questions.

1. Tell us about yourself.

2. What are three things you enjoy doing?

3. Why do you want to become a Jr. Seed Sower?

4. What do you hope to learn?

5. What does serving others mean to you?

Commitment

All commitments below are required.

I understand that Jr. Seed Sowers is a 12-month leadership and community service program.

I agree to:

Attend scheduled meetings whenever possible. Participate in community service projects. Treat others with kindness and respect. Follow the Jr. Seed Sowers Code of Conduct. Represent Jr. Seed Sowers in a positive manner.

Review & Submit

Confirm your answers, then submit the application.

Use Back to edit any section before submitting.