Current Holt County 4-H Council Camp Application Preview Complete Name Required First Required Last Required Address Required Address Required City/Town Required State/Province Required - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Required Phone Number Required 4-H Age Required Your age as of Jan 1 of the current year. Number of Years in 4-H Required Activity Date Required Total Cost of Camp/Activity Required Amount Requested Required What camp/activity are you requesting funding for Required What would you like to learn or gain from this camp/activity Required How will this camp/activity assist you in your contribution to the Holt County 4-H program and/or other 4-H'ers Required Leave this field blank