Youth Day & Youth to Washington D.C. Contest Application

2026 Tri-County Electric Cooperative Youth Day & Youth to Washington D.C. Contest Application

First

Last

Address

City/Town

State/Province

ZIP/Postal Code

Parent(s) or Guardian(s) Name

Cell Number

Parent Cell Number

Parent Email Address

Email Address

High School

Grade

Date of Birth

How did you hear about the program?

If you win the Youth to Washington contest, you may be asked to help promote the program to fellow classmates next year. Describe one way you would promote the program. Be creative!

Why are you applying for the Youth Tour Program?

By completing and submitting this application, I verify my eligibility to attend Youth Day, March 25th, in Springfield, IL. I also understand that if I should be selected as one of the winners of this contest, I would take the all-expense-paid tour to Washington D.C., June 15-22, 2026.

I verify that I live in a residence that is served by Tri-County Electric Cooperative.