Camper First Name ✻

Camper Last Name ✻

Preferred Name (Lived Name) - What do you prefer to be called? 

Preferred pronouns

Gender Identity (please select for the purposes of sleeping assignment) ✻

Age ✻

Current Grade ✻

Parent/Guardian Name ✻

 Parents Phone (xxx) xxx-xxxx ✻

Family email ✻

Camp Attending
(maximum 65 campers per camp) ✻

T-shirt Size ✻

Food Requirements: ✻

Name of Primary 4-H Club (if enrolled for the 2022-2023 club year).  If not enrolled for the 2022-2023 club year you will need to pay the $63 enrollment fee and enroll in Sonoma 4-H Camp Unit.  ✻

If out of Sonoma County please enter county of residence and club name if enrolled.

 SONOMA COUNTY CAMP RULES

1. Cell phones NOT ALLOWED at 4-H Camp. If brought, they will be collected and put in the camp safe until the end of camp. The break from technology helps kids be in the moment and appreciate the beauty and sounds of nature without interruption.  Of course if you have any concerns about your child or their experience, we will have a landline where you can reach your camp coordinators at any time. We will also contact you if we have any concerns about your child, or if your child comes to us with any issues.
2. Campers may go barefoot in shower areas only (shower shoes are recommended).
3. Be considerate of others.  Do not push people, throw rocks or food. 
4. Practice safety.  Do not run in camp.
5. Hikers require permission from the Hike Director, must sign up, and two adult must accompany each hiking group.
6. Socks, long pants, and sturdy shoes must be worn on all hikes.  Sandals or thongs are not allowed AT ANY TIME.
7. Preserve our camp atmosphere.  Leave curling irons, hair dryers, and all food and drink at home.
8. Respect the camp schedule and always stay with the group or program to which you are assigned.        
9. Only adults may have cars at camp. 
10. You may leave camp only with permission from the adult advisor, and with two adult chaperones to accompany you.
11. Alcohol, illegal drugs, cigarettes and chewing tobacco may not be brought to camp, or be used by anyone at camp. 
12. Do not bring knives, slingshots, firearms or fireworks to camp.
13. Campers will remain in their assigned sleeping areas at night unless accompanied by two adult chaperones.
14. No boys in the girl’s sleeping area, and no girls in the boy’s sleeping area after opening ceremony and before closing ceremony.
15. Fighting and threatening physical abuse is not allowed. Purposefully inflicting harm will not be tolerated.
16. PENALTY FOR INFRACTION OF THESE RULES MAY RESULT IN ANY OR ALL OF THE FOLLOWING:
17. Your parents will be called to come take you home.
18. You will not be allowed to attend the next Sonoma County Summer Camp session.
19. You will be expelled from 4-H club work.

I will follow the 4-H Code of Conduct (rules) and I will:
1. Be nice, kind, helpful, and respectful to other 4-H members; and to adult volunteers, youth leaders, 4-H
staff, and other adults in charge.
2. Be honest, honor my commitments, and accept responsibility for my choices.
3. Follow all health and safety requirements and guidelines related to 4-H activities, gatherings, projects, etc.
4. Use language that is respectful and kind. Not use curse words.
5. Not have or use alcohol, tobacco (like cigarettes, e-cigarettes, or chew) or other drugs (unless my doctor
gives them to me).
6. Not bother or attack others, not carry or use a weapon; and not do anything else illegal or unsafe.
7. Know that adults can search my things (like my backpack) if they think I might have broken the 4-H rules.
8. Not touch anyone in a way that is too affectionate, and not engage in sexual behavior.
9. Follow the 4-H Guidelines for Social Media - http://4h.ucanr.edu/files/133821.pdf.
10. Not do things outside of 4-H that are harmful to anyone in 4-H or the 4-H program.
11. Follow the California 4-H Dress Guidelines - http://4h.ucanr.edu/files/210170.pdf
While attending 4-H overnight events, I will:
1. Be in my sleeping area when I’m supposed to be there.
2. Not leave the grounds unless an adult in charge gives me permission, and only if there are two adults with
me.
3. Only enter my own assigned sleeping area and will not invite any kids who aren’t 4-H members into the
sleeping areas.
4. Be responsible for any damage caused by my actions.
5. Follow all the rules for that event.
Consequences
Anyone who sees someone break the Member Code of Conduct should tell the adult in charge right away. That
adult will tell that member’s parent or guardian. Consequences for breaking the 4-H rules may include:
1. Sending the member home.
2. Having the member meet with 4-H adults, talk about how the member can learn from what they’ve done,
and decide what the member should do to make up for any harm done.
3. Charging the member (or their parents/guardians) for the cost of repairs to property that the member
damaged.
4. Giving the member a warning, barring them from future events, suspending their membership, or terminating
their membership.
5. Taking the member to the nearest law enforcement agency or other proper authority ✻

4-H Enrollment Fee (NEW youth members and those who have not enrolled this year in 4-H)

Camper Registration Fee (credit card):  $438.50 credit card $425.00 Check

if paying by check there is a discount of $13.50  

Camper Registration Fee (check):  $438.50 credit card $425.00 Check

if paying by check there is a discount of $13.50  

Refund Policy: A refund of 50% of camper fees minus the 4-H enrollment fee of $63.00 will be given upon receiving proper notification on or before June 15, 2023. After June 15, 2023, no refunds will be provided. 

Some exceptions to this policy may apply based on the following:  

a). Camp coordinators are notified by a parent or guardian that there has been a death in the family.  

b). A medical doctor provides a written note to excuse the camper from camp for medical reasons.  

Transfers between week one and week two may also be an option for campers or staffers.  

  ✻