Join the fun at Rock Eagle 4-H Center

for

Registration begins

February 10 at the 4-H

June 22-26

Refund Policy

If cancellation is received on or before Tuesday March 31sr, all that you have paid minus a $10 service fee will be refunded.

After March 31st, refunds will only be given for the following reasons: 1- Illness or injury, 2- death in the immediate family, or 3- extenuating circumstances handled on a case-by-case basis.

Requests for refunds must be submitted in writing with proper documentation.

No refunds will be given for “no shows” or ear-ly departure from camp due to homesickness or discipline.

Refunds will be processed by the Rock Eagle 4-H Center after August 1, 2020.

Keep this page for your information: We will go to camp at the Rock Eagle 4-H Center on Monday, June 22 and return home on Fri-

day, June 26.

Camp is held at the Rock Eagle 4-H Center located in Eatonton, Ga. The 4-H center is approxi-mately 50 miles from Athens.

Travel will be on Clarke County School District buses and arranged by the 4-H staff.

Campers will be covered with health and accident insurance from the time the bus leaves on Monday until they return on Friday.

Safety measures are stressed at all times. Swimming is allowed only under supervision of qual-ified life guards and adult leaders.

Each camper and their parents must complete and sign a Georgia 4-H Code of Conduct form. Failure to abide by the Code of Conduct will result in the child being sent home at parental ex-pense.

Additional information such as what 4-H’ers need to take to camp, the 4-H bank, etc. will be provided when camp application is submitted to the 4-H office.

Parents will have the opportunity to attend an orientation meeting before camp. Ms. Conway will go over rules and expectations and answer parent questions. Orientation is generally scheduled three to four weeks before camp. The date, time and location will be sent to you.

The fee for camp covers the cost of lodging, transportation, meals, and all craft and program supplies.

The 4-H/Cooperative Extension Office is located near Georgia Square Mall at 275 Cleveland Rd, Bogart, GA.

Questions about camp? Call 706-613-3640 or email Ms. Conway at ebarber@uga.edu

Payment Schedule

Deposit of $75- due at sign up. Registra-tion begins Monday, Feb 10

2nd payment of $75 due on or before March 2

3rd payment due on or before April 3

Final payment of $75 due on or before May 1

Bring the completed application (next page) along with payment to:

ACC 4-H Office

Athens-Clarke County Extension

275 Cleveland Rd

Bogart, GA 30622

(located near Georgia Square Mall)

Complete this form and bring to ACC 4-H office to register for camp

4-H Cloverleaf Summer Camp Rock Eagle 4-H Center

June 22-26, 2020 (for 5th and 6th grade 4-H members)

If paying by check, please make checks payable to: ACC Extension

Installment plan of $75 deposit Payment in full

And 3 additional payments of $75 $300.00

I do hereby consent to allow my child to attend the 4-H Club Camp

and understand that he/she will be under the total supervision of the Ath-

ens-Clarke County Extension Agent and/or certified leaders while attending

camp. I will discuss with my child the importance of good behavior and

following the rules while at 4-H camp.

I have read and understand the refund policy. (on previous page)

Parent Signature

_____________________________________________________________

Date_________________________

Camp T-Shirt - Circle one

Youth Size

M L XL

Adult Size

S M L

XL XXL

4-H’ers Name__________________________________________________ Male Female Address:________________________________________________ City:______________ Zip Code:___________ Parent/Guardian Name:________________________________________________________________________ Parent email (for orientation & payment reminders, etc.)____________________________________________________ Phone # to contact parents________________________________________ 2019-2020 School Year Information: School Name:______________________________________________________ Grade:________________ Does your child have food allergies or special dietary needs? ____________ Does your child have medical or special needs during the week of camp? __________

If yes to either above question, please provide details on the reverse side of application in the space provid-ed.

Who can go to camp?

5th and 6th grade 4-H members who have not had a behavior problem in school, during a 4-H meeting or a 4-H event.

Where do I Sign UP?

At the 4-H office: 275 Cleveland Rd. Bogart, GA 30622

You register for camp at your school!

Questions about camp? Call the 4-H office at 706-613-3640 or send an email to:

ebarber@uga.edu

Use this space to provide additional information regarding food allergies, special dietary needs, and/or any special accommodations your child will need during the week of camp. If more space is needed to describe your child’s needs, attach additional paper. (medical information and code of conduct forms are required for all participants in Georgia 4-H events and will be provided to you when you register your child for camp)

Additional Camper Information:

What will I do at camp? 7:30 a.m. Breakfast 8:30 a.m. Special interest rotation—includes na-

ture hike, native lore and a craft projects 10:00 a.m. Organized recreation—includes

games and activities such as kick ball Noon Lunch 1:30 p.m. Class workshop time—classes include

canoeing, wildlife, archery and more 3:00 p.m. Organized recreation—more fun time

with the sports and recreation counselors Free time Every camper has a morning and after-

noon free time either before or after organized recreation. During free time there are many op-tions to choose including swimming, miniature golf, canteen and more

5:00 p.m. Cabin meeting time and prepare for dinner at 6 o’clock

7:00 p.m. Night activities include tribal meeting, pageant, variety show, dance, etc.

10:00 p.m. Back to cabins - get ready for the next day and go to sleep

The University of Georgia College of Agricultural and Environmental Sciences (working cooperatively with Fort Valley State Uni-

versity, the U.S. Department of Agriculture, and the counties of Georgia) offers its educational programs, assistance, and materials

to all people without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation or protected

veteran status and is an Equal Opportunity, Affirmative Action organization.