DuPage County 4-H Fundraising Approval Form

Please complete this form and return it to the Extension Office and to be placed on file at least two weeks before the 4-H fundraising activity is to be held. If you have a separate budget for this fundraising activity, please attach a copy to this form. This will help us keep track of all 4-H club fundraising activities within the county.

Type of Activity:

Date of Activity:

Where will this activity be held?

Will adults be present at activity?

Have you taken out an accident insurance policy? YES or NO If yes, # of application form

What is the current balance of your checking account?

What is the current balance of your savings account?

What will the money from this fundraiser be used for? Will any of the money raised be given to charity (if so, what charity)?

How much money do you expect to raise in this fundraising effort?

4-H Leader Signature Date:

Extension Staff Signature Date: