4-H Fundraiser Form Request to Fundraise Form Lincoln/Adams 4-H Club Name(Required) 4-H Club Leader(Required) Name of Club President(Required) Date of Activity(Required) Estimated Expenses(Required) Estimated Income(Required) Address of where the fundraiser event will be held.(Required) If the fundraiser event involves serving food, please list the name of the 4-H adult volunteers who will be participating at the event and who have current food handlers permits. For more information about food handlers permits go to foodworkercard.wa.gov(Required) What type of products will be sold or services to be provided for the fundraising event?(Required) How will the raised funds be used by the 4-H Club?(Required) How will the fundraiser be promoted?(Required) What are the risks the fundraiser event will encounter? (Example: For a fruit sale fundraiser, a risk is that the fruit is perishable and subject to spoilage.)(Required) Is the fundraiser event in support of or in conjunction with an outside group or organization(Required) Yes No What group or organization will this fundraiser benefit?(Required) How will this fundraiser benefit the group or organization?(Required) Describe the needs of the group or organization and how the group or organization was chosen?(Required) What is the final plan to do with items or money collected in support of this group or organization?(Required) Name(Required) First Last Phone(Required)Email(Required) Date(Required) MM slash DD slash YYYY I confirm the accuracy of the information provided above.