Weber County 4-H Aggie Summer Camps & Workshops

Participant's Incoming Grade

Summer Camps*

Workshops*

Please check the box stating you understand our refund policy:

Cancelation / Refund Policy*

Cancelations up to 7 days before the first day of camp/day of the workshop are eligible for a 50% refund. Cancellations 6 days or less are not eligible to receive a refund.

Can I make an optional donation?

With over 6 million members nationally, 4-H is the largest non-profit positive youth development program that strives to "make the best, better". Your generosity would contribute to growing and improving the quality of Aggie Camps, Shooting Sports, STEM Education, Horse & Livestock, and/or Family & Consumer Science Education here at the county level. Thank you for supporting us and our mission!

Would you like to donate to Weber Co. 4-H?

Total

$0.00

Registration Information

All fields marked * are required for registration

Participant's Name

Date of Birth

Which grade is your child entering this fall?

Participant's Gender

Participant's Ethnicity

Participant's Race

Parent/Guardian's Email

Confirm Parent/Guardian's Email

Cell Phone

Home Phone

Address

Does the participant have any dietary restrictions?

Emergency Contact / Medical Release

Relatives or friends to act on my behalf in case of an emergency if I cannot be reached:

Note: If you have been exposed to any communicable disease within a week before attending a 4-H event, please explain fully in a note to the Camp Director / Camp Counselor. If bringing medications to the event or program, please make sure that your name is on them and that the adult in charge is advised of the directions for administration.

Emergency Contact Name

Emergency Contact Home Number

Emergency Contact Cell Number

Emergency Contact Email

Emergency Contact Address Address

Additional Emergency Contact Information

Family Physician

Physician's Phone Number

Additional Medical Concerns

Date of last tetanus shot

Medical Release

In the event of an emergency, I hereby give permission to the 4-H staff to request emergency services for me or my child, which may include transportation to a medical facility, and in the event that none of the contacts listed above can be reached, I also give permission to the physician to hospitalize and provide proper necessary treatment to me or my child.

I have read and agree to the terms above.

Participants in USU 4-H events are sometimes photographed and videotaped for use in promotional and educational materials. During the camp/workshop, photos/videos will be taken and your child may be featured on our social media platforms. Do we have permission to take and post photos/videos of your child for our promotional or educational purposes?

Media Release

Code of Conduct

Our primary goal of the 4-H program is to build character while participating in 4-H. We expect all youth and adults to abide by the following behavior while participating in 4-H programs and events:

• I will exhibit positive character and behavior including (but not limited to) trustworthiness, responsibility, respectfulness, caring, citizenship and fairness.
• I will attend all sessions as part of a planned program and be in the assigned area at all times.
• I will follow guidelines and rules established for the planned programs.
• I will be responsive to the reasonable requests of the 4-H staff/club leaders and respectful of the needs for their personal safety and the safety of others.
• I will dress appropriately, use appropriate language and respect the rights of others.
• I will be respectful of public or private property and will be responsible for any damage, theft or misconduct.
• I will not possess or use alcohol, illegal drugs, or tobacco products.
• I will not behave recklessly, engage in sexual misconduct, assault, threaten or harm another person.
• I will promote the spirit of inclusion and comply with equal opportunity and anti-discrimination laws.

I have read the 4-H Code of Conduct and agree to live up to these expectations while participating in 4-H programs and events. I am aware that all my actions and decisions affect others. I realize that my failure to act with good character could result in loss of privileges, consequences, and suspension from the event or program, or for future programs or events. I am willing to accept the appropriate and logical consequences of my actions. As a participant in a 4-H sponsored program, I release the County, State Extension programs and personnel, Utah State University and those affiliated from liability should I accidentally be injured due in part to my own negligence.

I have read and agree to the terms above.

Total

$0.00

Location Information

Summer Camps*

Workshops*

Almost done. Where should we send the confirmation?