Volunteers

"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, please contact me to volunteer during the camp."

During the Camp:

Yes, I would like to participate in an optional private lesson

Class Electives

Band Electives

Releases

Home Phone

Media Release

Yes, I agree to let "Cordova 4H Bluegrass and Old Time Music Camp" use a photo/s of my child for promotional use. (The child's name and other information will not be released).

No, "Cordova 4H Bluegrass and Old Time Music Camp" may not use a photo/s of my child for promotional use. (The student will not be allowed to be in the end-of-camp photo).

Closed Campus Policy:

For safety's sake, we have a CLOSED CAMPUS policy. We require that a parent or guardian sign their child out at the end of every day, or provide a handwritten note delivered beforehand. There will be a form and clipboard at the front table for you to sign your child out.

I agree to sign my child out at the end of every day, or provide a handwritten note beforehand.

My child may leave campus without my signature. I understand that checking this box will release Bluegrass Camps for Kids of any responsibility for my child at the time that is specified as the end of the day on the Camp Form.

My child is 13 or older, and I give him/her permission to go off-campus during lunch. I agree that Cordova 4H Bluegrass and Old Time Music Camp will not be held in any way responsible for my child during this time frame. I agree that my child will sign in and out at lunch every day, and will return to camp in a timely manner. I understand that if these conditions are not met, the privilege will be revoked.

A large part of Cordova 4H Bluegrass and Old Time Music Camp is the Bands Around Town activity on Friday afternoon. Students walk around town with their instructor and a volunteer to play music for locals.

I give my permission for my child to attend the Bands Around Town activity, and understand that the medical release signature below extends to the Bands Around Town activity. I also agree that my child will follow instructors' directions, and behave in a way that positively reflects the camp.

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:

  • Obey all rules established by the 4-H program, the local club/program and all local, state, and Federal laws.
  • Conduct myself in a courteous manner and be respectful of the authority of adult volunteers, youth leaders and 4-H staff, and others in leadership roles.
  • Not use, accept, or carry alcohol, drugs, or tobacco, nor associate with or remain in the presence of others using the substances.
  • Know that the possession or use of firearms is prohibited, except when part of an approved shooting sports educational program.
  • Respect all persons, facilities and vehicles. I will be responsible for any damage caused resulting from my behavior.
  • Help others have a pleasant experience by making every attempt to include all participants in activities.
  • Be in the assigned program area (for example: dorms, cabins, programs, etc.) at all times.
  • Use appropriate language and dress appropriately for each event.
  • Acknowledge that searches of personal property may take place when there is reasonable suspicion of violations of law or policies.

I have read the 4-H Code of Conduct and I support my child 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 my child be sent home and may be asked to forfeit all funds expended upon me and/or my child’s behalf during the event.

Instrument Release:

If my child is borrowing an instrument, I agree to take full financial responsibility if my child incurs any damage to that instrument while borrowing it. If my child is using their own instrument, I agree to take full financial responsibility for the instrument that my child is 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 my child is 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.

Medical Release:

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.

Registration