Request for Summer Activities

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Request for Summer Activities

* Indicates required field

Name *

First

Last

Email *

Choose Case County *

Flagler East Volusia West Volusia Putnam St. Johns

Phone Number *

Amount Needed *

Beginning Date *

Activity *

Summer Camp Sports Art Music Other

Ending Date *

Details of Activity to be funded. *

Submit

"A COPY OF THE OFFICIAL REGISTRATION #CH42750 AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE."

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