Steps:
1. Click on 'Printer Friendly Version' at the bottom of this page.
2. Print this Page.
3. Complete all the fields.
4. Send this application (2 pages) by June 1st, 2008 to:
Good for Kids Foundation
PO Box 170667
San Francisco, CA 94117
Child Information (Please complete the following)
Name: __________________________________________________________________________
(Last, First, Middle, Nickname)
School Name: __________________________________________________ Grade: ___________
Organization Name: ________________________________ Organization phone #: ___________
1) What is your favorite artistic or athletic thing to do? And why do you like to do it?
2) What are your 3 favorite things to do when you are not studying? And why?
3) If you could teach something to one of your friends, what would it be? And why?
Parents/Guardians Information (Please complete, then sign and date at the bottom)
Name: _____________________________________________ Relation to child: _______________
(Last, First, Middle)
Name: _____________________________________________ Relation to child: _______________
(Last, First , Middle)
Cell or Work Phone: _________________________ E-mail Address: ________________________
Is it okay to contact you via e-mail for Good for Kids Programs: (circle one) Yes No
Disclaimer:
Submission of this application to Good for Kids and acceptance of a Good for Kids Camp scholarship does not entitle the child or the parents/guardians to any additional goods or services from Good for Kids. In the event that the child is selected to participate in additional phases of the Good for Kids Program, any amount or duration of services provided to the child will be at the sole discretion of Good for Kids.
Child and Parents/Guardians give Good for Kids irrevocable rights, copyrights, and permissions, in connection with the photographs/negatives/videos/digital images taken of them during the Camping Scholarship period, to use and reuse said photographs/negatives/videos/digital images either by themselves or in conjunction with other photographs/negatives/videos/digital images in any medium and for any purposes whatsoever as well as using their names in connection therewith.
_________________________________________________________________
Parent/Guardian Signature
________________________________________
Date
