Event Scholarship Application

Member Name*
First Last
Phone*
Email*
Age*
What event are you applying for?*
Registration Due Date*
Month
Day
Year
Date of event*
Month
Day
Year
Please give us your reason for wanting to attend this event.*
Price for event*
Can you pay for half of the entry fee?*
- Yes
- No
If accepted, who does the reimbursement check need to be made out to?*
Your application will be reviewed by the Brazoria County 4-H Adult Leaders. A decision will be made and you will be contacted with the outcome for financial assistance once the Adult Leaders have had their monthly meeting. Reimbursement will be given to the family after the event has ended.
Consent*
Check this box if you have read the statement above.
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Your application will be reviewed by the Brazoria County 4-H Adult Leaders. A decision will be made and you will be contacted with the outcome for financial assistance once the Adult Leaders have had their monthly meeting. Reimbursement will be given to the family after the event has ended.