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