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730 W. 4th, PO Box 1651, Hutchinson, KS

Lysle Rishel Post 68




Complete the application and return to your Counselor by 2-19-16. Incomplete or late applications will not be accepted.

Due to costs the delegate is charged $25.00 and must be returned along with the application.  This is a non-refundable deposit. Make checks payable to the American Legion Auxiliary.  A fee of $250.00 is paid by a sponsoring organization. Each delegate is responsible for her own transportation to and from the University of Washburn Campus in Topeka.  Session is June 5th thru 10th, 2016


Name _________________________________        Phone number _____________________

High School Name       _____________________________________________________

E-Mail Address                        _____________________________________________________

Street Address              _____________________________________________________

City and Zip Code       _____________________________________________________

Parent’s Name(s)         _______________________________________________________

Girl’s State is a week of “Government in Action”.  Tell me in 50 words or less why you would like to attend Sunflower Girls State.



Activities and Clubs you belong to your (Soph & Jr.Srs.)


Each year over 30 applicants from several schools in our area attend Sunflower Girls State. We have limited sponsors and would like to know if you are able to resource a sponsor so all applicants can attend this memorable experience.  A sponsor can be a business, organization or parent. 

Yes I am able to resource a sponsor. A payment of $250 will be due no later than March 21  Initial ______


No I am unable to resource a sponsor and would like assistance  Initial _____

Please return the application to your School Counselor prior to the due date. You will be contacted by Marcia Fletcher via e-mail prior to 3/11/16 with additional information about the process.  We have a large group of delegates who attend so our process is different from the state.  Contact Marcia prior to March 11th, if you are unable to attend. After March 11th,  you are responsible to repay the sponsor $250.00.

____________________________                            ____________________________

Student’s signature                                                       Parent’s signature

Date _______________________

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