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 - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming 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