State Fair Travel Reimbursement Form

Request State Fair Travel Reimbursement from the Kittitas County 4-H Council

Due October 15th

4-H families must submit a “State Fair Travel Reimbursement” form by October 15th to the Extension Office.

The 4-H Council Treasurer will then pay clubs $20 per round trip vehicle for State Fair in Puyallup.

Date:(Required)

Club Name:(Required)

Club Leader:(Required)

Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone:(Required)

Date of State Fair Transportation:(Required)

Number of 4-Hers Attending:(Required)

Names of 4-Hers Attending(Required)

Number of Leaders Attending:(Required)

Number of Vehicles:(Required)

Total Round-Trip Mileage:(Required)

Digital Signature:(Required)

Typing your name in this field constitutes a digital signature.