4-H Leader Covid-19 Meeting Acknowledgment

✻ = Required

Leader First Name ✻

Leader Last Name ✻

Email (a copy of this survey will be emailed to you) ✻

Club ✻

Basic Safety Standards for Meeting In-person

These safety standards must be followed for all in-person 4-H activities.

You understand that you, and others, may NOT participate in any in-person 4-H activities if you are sick or have COVID-19 symptoms or if you or someone you have been in contact with has been diagnosed with COVID-19.

Symptoms include:

Fever or chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
New loss of taste or smell
Sore throat, Congestion or runny nose
Nausea or vomiting
Diarrhea

✻

Yes No

Post the Symptom Survey sign at the location to remind persons of COVID-19 symptoms and to stay home if they are sick, have symptoms, or have been exposed. ✻

Yes No

Hand sanitizer must be available at meetings. ✻

Yes No

Face Mask Use

Masks are not required, regardless of vaccination status. In compliance with CDPH guidelines, masks are recommended for indoor settings, but are not required.

People may choose to wear a mask, even when it is not required. Individuals may have health or personal reasons why they choose to wear a mask. Some may wear a mask because they or loved ones are at higher risk of infection. Some people may wear a mask because they were recently exposed to someone who has COVID. Please don’t speculate on other people’s vaccination status or question individuals who choose to wear a mask. ✻

Yes No

As of 3/12/22, social distancing will no longer be required for indoor or outdoor activities. ✻

Yes No

Maintain hygiene practices

After each use, clean and disinfect work spaces and equipment, wash hands often, and/or use hand sanitizer. ✻

Yes No

COVID testing is required for all in-person statewide, in-state overnight, and out of state events. ✻

Yes No

I have reviewed:

Planning resources for in-person activities

Virtual Toolbox: Planning resources for virtual activities ✻

Yes No