"Yes, I can help to provide or prepare food for camp staff during the week."
"Yes, I can help with the Evening Family Events."
"Yes, I would like to borrow an instrument during classes"
Please list names of friends with whom you are trying to coordinate classes.
Allergies (include food, medicines, animals, insect bites, etc.)
Any other medical or behavioral concerns that you would like the camp staff to be aware of:
Yes, I agree to let "Cordova 4H Bluegrass and Old Time Music Camp" use a photo/s of myself for promotional use. (Your name and other information will not be released.)
No, "Cordova 4H Bluegrass and Old Time Music Camp" may not use a photo/s of myself for promotional use. (The Adult will not be allowed to be in the end-of-camp photo).
The 4-H Code of Conduct applies to all activities coordinated through UAF Extension 4-H including local, district, state and national activities.
While attending 4-H activities and events, I will:
I have read the 4-H Code of Conduct and I support living up to the expectations it outlines. As well, I agree to live up to the expectations of the Code of Conduct while participating in 4-H programs and events. I will support the individual(s) in charge in maintaining appropriate behavior and in the development of good character. I understand that I am responsible for all costs incurred by early departure should I be sent home and may be asked to forfeit all funds expended upon my behalf during the event.
If I am borrowing an instrument, I agree to take full financial responsibility if I incur any damage to that instrument while borrowing it. If I am using their own instrument, I agree to take full financial responsibility for the instrument that I am using. I also agree to release "Cordova 4H Bluegrass and Old Time Music Camp" of any financial responsibility if any damage is done to the instrument. If I am loaning an instrument to the camp, I agree to release "Cordova 4H Bluegrass and Old Time Music Camp" of any financial responsibility if any damage is done to the instrument during the camp. I also agree that if there is any damage done to the instrument during the camp, the person using it at the time will be financially responsible for the damage done.
I hereby consent to emergency treatment, hospitalization, or other medical treatment as may be necessary by a physician, qualified nurse or hospital in the event of an injury or illness. On behalf of the above student, I hereby waive any liability for injuries/illness sustained at this event "Cordova 4H Bluegrass and Old Time Music Camp". I also hereby accept legal and financial responsibility for the above student in the event of injury or illness.
By checking this box you agree that you have read the above, and agree to all terms. You also agree that you have read and understand the FAQ page.