Youth Camp & Exchange Activity Report

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Youth Camp & Exchange Activity Report for fiscal year

This form must be completed each fiscal year by the Youth Camp & Exchange Chairperson by December 1.

Sponsored Participants (youth sent to other countries)
	1. Total number of camp sponsorship applications received.
	2. Total number of exchange (no camp) sponsorship applications received.
	3. Total number of Lions clubs in your district/MD who sponsored a participant.

Countries where sponsored participants were sent:

Total number of
exchange (no camp)
participants sent:

Total number of
camp participants sent
(host family stay included):

*Total number of
all participants sent:

Total Countries Sponsored

Total :

*Do not duplicate entries. Total number should equal sum of columns 2 and 3

Hosted Participants (youth hosted in your district/multiple district)
	1. Total number of camp host applications received.
	2. Total number of exchange (no camp) host applications received.
	3. Total number of lions clubs in your district/MD who hosted a participant.
	4. Total number of host families.

Countries where hosted participants were from:

Total number of
exchange (no camp)
participants hosted:

Total number of
camp participants hosted
(host family stay included):

*Total number of
all participants hosted:

Total Countries Hosted

Total :

*Do not duplicate entries. Total number should equal sum of columns 2 and 3

I certify the above information is complete and correct.

Full Name:

Date:

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