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 ✻

Display the following posters in your 4-H meeting sites.

Click Here to Download Poster 1

Click Here to Download Poster 2 ✻

Yes No

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

Face Mask Use

Outdoor activities with youth and adults: No face masks required.

Indoor activities face masks are required for all. ✻

Yes No

Indoor Physical Distancing

Wearing a mask and maintaining a minimum of 3 feet between participants is required for indoor activities.

Maintain 6 feet of distancing during times when members and volunteers are not masked due to eating or drinking. ✻

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

I have reviewed:

Planning resources for in-person activities

Virtual Toolbox: Planning resources for virtual activities ✻

Yes No

Statewide 4-H Events and Out of State Travel

Through December 31, 2021, the State 4-H Office will not hold any in-person or overnight statewide events. Nor will any out of state travel be granted to attend 4-H sponsored conferences and events which are coordinated, organized, or funded by the State 4-H Office or California 4-H Foundation.

These guidelines will be reviewed and communicated for 2022 in December 2021. ✻

Yes No

Overnight events and Camps

Through December 31, 2021, California 4-H will not host any overnight events, including overnight 4-H camps. Resources for planning virtual camps and day camps are on our Camp Resources page.

These guidelines will be reviewed and communicated for 2022 in December 2021. ✻

Yes No