Youth Tour Trip Application

Youth Tour - Trip Application
(Must be a Junior in High School to Apply)
Parent Information
Applicant Signature

Selection will be made without regard to the applicant's race, color, ethnicity, religion, gender, or physical handicap. Two winners will be selected for the Washington, D.C. trip. Selection is based on the completed application. Children of Midwest Energy employees are not eligible to apply. Applicants will be required to make a presentation of their trip for the Midwest Energy Annual Meeting.

I certify that this information is true, complete and accurate. I authorize release of information to confirm and/or verify this application. I further authorize release of my name in connection with announcements of Youth Tour awards in the event that I am selected to be a Midwest Energy, Inc. Youth Tour recipient.

Parent Release

I/We hereby grant permission for my child to enter the Electric Cooperative Youth Tour competition.