Camp Enrollment Form - Clackamas County 4-H Cloverbud Day Page 2
ADVERTISEMENT
1
2YOUTH CODE OF CONDUCT
The well-being of all 4-H program participants is important. Everyone has responsibilities. When I participate in 4-H programs, I
agree to...
1.
Engage fully with a positive attitude and creative energy.
2.
Be courteous to others, even if they’re different from me.
3.
Be cooperative. Encourage individuals. Help others. Support teamwork.
4.
Be willing to ask an adult for guidance to make good decisions and take appropriate actions.
5.
Use language that is respectful to others. (Swearing, harassment, and bullying are not allowed.)
6.
Take care of the property I use and assume responsibility for purposeful damage I may cause.
7.
Wear appropriate clothing for program activity(s). Follow the specific dress code, if provided.
8.
Be present and on time for all parts of the program. (I will notify the appropriate supervisor if I have a health or schedule
problem.)
9.
Use technology (iPods, mp3 players, game devices, cell phones, etc.) during free time, or in ways that contribute to the goals of
the program.
10.
Treat animals humanely and provide them appropriate care.
11.
Not engage in Personal Displays of Affection (PDA). (It is distracting and inappropriate.)
12.
Know and follow federal, state and local laws that apply to my age. (Not use tobacco, alcohol, illicit drugs, fireworks, or
firearms.)
13.
Know and follow safety policies of the Oregon State University, Extension Service, and guidelines of the 4-H Youth Development
Program. (Such as: not leave the program area at any time without permission from the program supervisor; be in assigned
lodging and not trade rooms during overnight activities; abide by curfew hours; remain in gender specific areas [no boy in a girl’s
room / no girl in a boy’s room]; handle firearms only in secured, designated areas under the direct supervision of a trained 4-H
Shooting Sports volunteer.)
I have read and agree to the above Code of Conduct. I understand that if I violate any part of this agreement, I may be sent home
from a 4-H activity at the expense of my parent(s) or guardian(s). I also understand that if I cause personal or public safety concerns, I
may lose my eligibility to participate in some future 4-H Youth Development events, and/or, lose my membership privileges.
___________________________________
________________
____________________________________ _____________
Member Signature (Required)
Date
Parent/Guardian Signature (Required)
Date
Oregon State University Extension Service offers educational programs, activities, and materials—without regard to race, color, religion, sex, sexual orientation, national origin, age, marital
status, disability, and disabled veteran or Vietnam-era veteran status—as required by Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, and Section 504 of the
Rehabilitation Act of 1973. Oregon State University Extension Service is an Equal Opportunity Employer. The Extension Service offers its programs and materials equally to all people. Reasonable ccommodations
will be provided to those with physical or mental disabilities in order to attend Extension programs. Please contact the Extension office in advance to make arrangements. Agriculture, Family and Community
Development, 4-H Youth, Forestry, and Extension Sea Grant Programs. Oregon State University, United States of Agriculture cooperating.
Office Use Only:
Date Received at Extension Office: _______________________ Received by: _________________________________
Payment Amount: __________________ Date: _____________ Check #: _____________ Balance Due: ___________
Payment Amount: __________________ Date: _____________ Check #: _____________ Balance Due: ___________
Health Form Received: ___________________________ Copy and Payment sent to Camp Committee: ______________
Entered: _________________________ Camper Letter Mailed: ________________ Bus? _______________________
Notes: ____________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business