<p> DuPage County 4-H Fundraising Approval Form</p><p>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.</p><p>Type of Activity: </p><p>Date of Activity: </p><p>Where will this activity be held? </p><p>Will adults be present at activity? </p><p>Have you taken out an accident insurance policy? YES or NO If yes, # of application form </p><p>What is the current balance of your checking account? </p><p>What is the current balance of your savings account? </p><p>What will the money from this fundraiser be used for? Will any of the money raised be given to charity (if so, what charity)?</p><p>How much money do you expect to raise in this fundraising effort?</p><p>4-H Leader Signature Date: </p><p>Extension Staff Signature Date: </p>