Dickinson County 4-H Camp Scholarship Application
The Dickinson County 4-H Foundation will be providing up to forty-three $300 scholarships for Dickinson County 4-H club members attending overnight, specialty, or mini-camp at Rock Springs Ranch the summer of 2024.  More information about camp may be found at: https://www.rockspringsranch4hcamp.org/sessions-rates/.  
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Email *
4-Her Name *
Email *
Mailing Address *
Club *
Best Phone Number *
Age *
Current Grade *
Have you attended camp at Rock Springs before? *
If yes, number of years you've attended camp *
What are you excited to do at camp? *
I understand that by completing this form and registering to attend camp at Rock Springs Ranch, I am making a commitment to attend that event and participate fully. If I am unable to attend the event or if my behavior warrants my removal, I understand that I am responsible for repaying the Dickinson County 4-H Foundation the full amount of the scholarship I’ve been awarded.   

Participant Signature (typed)
 *
Parent/Guardian Signature (typed) *
A copy of your responses will be emailed to the address you provided.
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