COVID-19 In-Person Activities - Mendocino County

Name ✻

Club ✻

County ✻

Role in 4-H ✻

Type or purpose of in-person meeting/activity ✻

Frequency of meeting. If known, please list all meeting dates until June 2021. ✻

I attest that:

• I have watched the video on COVID-19 Safety Protocols for 4-H In-Person Meetings.
• I reviewed the required documents (4-H Basic Safety Standards, 4-H Safety Protocol Checklist, Planning Strategies for In-Person Meetings).
• I agree to follow all COVID-19 safety protocols and process for all 4-H in-person meetings as determined by UC ANR and the local county public health office.