4-H Reimbursement Form

2023-2024 District & State Contest Reimbursement Form

Please list what contests you are requesting reimbursement.

Reimbursement requires 4-H members register and compete in the event.  No reimbursements will be issued for contests where a member registered but for whatever reason did not compete.

4-H Member Information

4-Her Name(Required)

Email(Required)

District Contests
** Only check the contest you registered for and competed in. We will not reimburse for invitational (non-district) contests. All requests will be verified against registrations on 4-H Online and results from the District 11 4-H Contest Results.**
State Contests
**Only check the contest you registered for and competed in. We will not reimburse for invitational (non-district) contests. All requests will be verified against registrations on 4-H Online and results from the District 11 4-H Contest Results.**

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