Larimer County 4-H Club Fundraising Request Form

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This form must be filled out and approved by the 4-H Agent prior to your club advertising or participating in any fundraiser.

Name of 4-H Club or Group *

Name of adult responsible for fundraising *

Email *

Phone Number *

Short Description of Fundraiser *

How will the funds raised be used? (Must be educational and/or supporting positive youth development) *

Fundraising Goal (amount) *

Anticipated Cost of Fundraiser (amount) *

Anticipated Gross profit from fundraiser (amount) *

Planned Date of Fundraiser *

YYYY

Location of Fundraiser *

By clicking agree, I state that: I am the leader of this 4-H club, project, or group. I have provided accurate information above, to the best of my knowledge. If approved, we will abide by all 4-H guidelines and expectations in carrying out this fundraiser. *

Agree

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