JUNIOR CAMP AT BURTON 4-H CENTER

Fayette County Extension 140 Stonewall Avenue, Suite 209 Fayetteville, GA 30214 ugaextension.com/fayette/4h uge2113@uga.edu 770-305-5412 Phone 770-305-5217 Fax JUNIOR CAMP AT BURTON 4-H CENTER Junior Camp will be here before we know it! We re very excited and looking forward to a great week! The schedule includes great activities such as a dance, beach time, lighthouse tour, marsh ecology, marsh trawl, Savannah ghost tour, and riverboat dinner cruise! Junior Camp is June 20 th -24 th at Burton 4-H Center on Tybee Island in Savannah, GA. ALL YELLOW FORMS (2) DUE ON OR BEFORE MAY 9, 2016 to the Fayette County Extension Office 1. Georgia 4-H Code of Conduct Form Please go over this document with your child. You and your child must sign this form. 2. Medical Information and Release Form (2 sided) This form MUST be completed regardless if your child has any specific allergies or prescribed medicine. Please list any prescribed medications and instructions for each of them. You MUST list any over-the-counter medication with dosage that he/she may take as needed on the back side of this form. Acetaminophen, Ibuprofen, Pepto-Bismol, and Neosporin are common medicines available at camp, so if you wish for your child to be given these medications as needed you must include that on the form. No physical is needed. Please make sure to sign BOTH sides of the form. If there is any additional information that you want us to know about your camper, please provide it to us in writing. You will receive additional details about camp closer to summer. We are going to have a great week at Junior Camp! Please call us with any questions. Sincerely, Fayette County 4-H Staff

2016 Junior Camp at Burton 4-H Center Information Sheet Please keep this information until after camp is over 1. DEPARTURE FOR CAMP: Details are still being finalized, but we typically carpool with neighboring counties on a bus to camp. Please check your email for details as we get closer to camp. 2. BUS RIDE: The 4-H ers are only allowed to bring 1 suitcase (no larger than 50 pounds and not to exceed 62 inches when you total length + width + height), pillow and a backpack. They can bring small snacks but ONLY WATER to drink. The sticky drinks get spilled and that messes up the buses. Since it is a long ride, they can bring head phones for the ride, but we are not responsible for them. 3. MONDAY and FRIDAY LUNCH: The 4-H ers on the bus need to bring money for a fast food lunch on the way to Burton and for lunch on the way home. Please do NOT pack it in your suitcase! Please make sure you child knows to save money for lunch on Friday. It might be a good idea to seal that money in a separate, labeled envelope. Your child is still responsible for keeping up with this and all of their spending money. 4. PACKING: See packing list for items to bring to camp, and what NOT to bring to camp. Please be sure to label everything with camper s name and Fayette County 4-H. 5. CODE OF CONDUCT: All 4-H ers will be expected to observe the rules and regulations of the camp. Please thoroughly read the Georgia Code of Conduct before you and the camper sign it. All 4-H ers are cautioned not to bring or purchase items (such as water pistols or balloons, shaving cream, fireworks, etc.) that could cause disciplinary problems. Cases of misconduct may result in the 4-H er being dismissed from camp and sent home at the parent/guardian s expenses. As an adult signing the code of conduct, you also share in your child s conduct and their consequences. 6. SPENDING MONEY: 4-H ers may bring a small amount of money for souvenirs and snacks from the canteen at the 4-H Center. Note on the tentative schedule there are shopping opportunities on Tybee Island and on River Street in Savannah. Remember your child is responsible for their own money. Please do not send large amounts. Visit http://www.burton4h.org/ee/canteen.html to view items available for purchase at the camp canteen. 7. MEDICATION: Please make sure to turn in all medication (along with full written instructions) to the 4-H office personnel when you check in to leave for camp. Please make sure to complete both sides of the medical release form. The back side of the form allows you to list all of the over-the-counter medications that your camper is allowed to take while at camp. No camper will be permitted to have or use any medications that are not listed on this form while at camp. Please send medicines with your child in a Ziploc bag with the label, instructions, and dosage taped to the inside of the bag. These will be collected the morning of departure. Friday morning all medications will be packed in your child s suitcase. Please notify in writing on medical form if this is an issue. 8. DIETARY RESTRICTIONS: Please make sure to notify the office of any dietary restrictions or substitutions that need to be made for your camper. Turn over

9. CELL PHONES and EMERGENCY NUMBERS: Junior campers may bring cell phones to camp. During those times that the Junior Camp schedule legitimately allows campers to return to their cabins/dorms/rooms, campers may use their cell phones; but, the phones should remain in cabins/dorms/rooms during the day s activities and must be put away at lights out. Cell phones may be confiscated and returned at the end of the week if their possession or use is determined to be disruptive to camp activities. If you have an emergency and you need to get in touch with your camper, please contact the Fayette County Extension Office at 770-305-5412x7 from 8:00 am 5:00 pm or Burton 4-H Center (912) 786-5534. 10. CAMP PHOTOS: We have a 4-H photo site which we will post photos from camp. We will send an email out when photos are posted. The site address is: https://fayettecounty4h.shutterfly.com/ select pictures & videos and the password is fayetteco4h 11. CAMP SAFETY: For your child s safety, no camper will be allowed to leave camp without: A. A signed letter of permission from the parents or guardians B. Proper checkout as arranged through the County 4-H Agent. 12. ARRIVAL HOME: TBD

2016 Junior Camp at Burton 4-H Center Packing List Campers are restricted to only one suitcase (pillow and sleeping bag may be strapped to outside.) Waterproof sunscreen! Comfortable clothes for 5 days that can get sandy and dirty (must meet school dress code) More formal attire for the dinner cruise and dance (ladies: skirt or appropriate sun dress, men: collared shirt) Linens (for extra-long twin mattresses) and or sleeping bag Pillow Alarm Clock One-piece swim suit or tankini that meet in the middle (all campers will wear 4-H Center swim shirt while at beach) Plastic bag for dirty & wet clothes and large ziplock bags Towels, washcloth, and beach towel Insect repellant Sunglasses/hat Raincoat/poncho- it rains often at the beach! Spending money for souvenirs, change for drink machine Waterproof watch Toiletry items (toothbrush, toothpaste, soap, shampoo, deodorant, shower shoes etc.) Shower shoes (may be flip-flops, but they cannot leave the cabin. Flip-flops cannot be worn to beach!) Sport Sandals (must have a heel strap. Wear these to the beach!) Comfortable Shoes (Bring at least 2 pairs one that can get wet and muddy for the marsh. Rain boots work well) The right shoes make all the difference! Please bring appropriate shoes Optional Items: Cell Phones are allowed at Junior Camp, but are brought at your own risk and should be used only at night in cabins Disposable camera (bring expensive cameras at your own risk!) Day pack Water bottle Pen, paper, and stamps to write letters to family and friends * Please write your child s name & Fayette County on EVERYTHING, so nothing gets left behind * Clothing guidelines: 1. No clothing should be worn that violates the Code of Conduct. 2. Keep these clothing guidelines in mind: halter tops, backless shirts, one shoulder tops, shirts with spaghetti straps, tube tops, extremely tight clothing, visible midriffs, revealing pants, or clothing that advertises alcohol or tobacco products are NOT allowed. Tank tops straps need to be wide enough to touch the shoulders or at least 2 inches wide. There should also be no visible cleavage or visible undergarments (boys and girls). 3. Camp is rough on clothes bring only clothes that are okay to get wet or muddy. 4. Bring extra socks and underwear you always need them! Turn over

What NOT to bring: FLIP FLOPS are NOT allowed at 4-H Summer Camp for safety purposes Expensive cameras, radios, video games, CD players, MP3 players, portable DVD players, electronic games, other electronic devices, shaving cream, aerosol cans, weapons of any kind (knives, matches, lighters, scissors, water guns, water balloons, fireworks) or anything else that would not be allowed at school. o If any of these items are found in the possession of a 4-H er, the article(s) will be confiscated and will not be returned to the owner until we return to Fayette County after camp. Multiple offenses could constitute grounds for the camper to be dismissed from camp at the parent/guardian s expense. o Please do not bring any expensive items to camp. Cameras, nice watches, jewelry, and other valuable items will travel at the owner s risk. The Fayette County Extension Office and Burton 4-H Center are not responsible for lost or stolen items. (For those that wish to take photos, we suggest disposable cameras) 4-H Statement: 4-H ers are to leave radios (boom boxes and walkmans), computers, televisions, and video games at home unless authorized by and used under direct supervision of the member s leader. 4-H ers should be discouraged from bringing cell phones. No programs are to be disturbed or interrupted with personal electronic equipment. 4-H ers are not allowed to bring skates, roller blades, bicycles, laser lights or other personal items that would make safety an issue. Safety and damage/loss of expensive items are the concern.

2016 Junior Camp at Burton 4-H Center Rules & Regulations The following will be covered during the camper orientation held upon arrival. Acquaint your campers with these rules and regulations before your trip and it will help make a smooth week at camp. Listen to counselors and adults. A raised hand indicates that it is time to listen. Shoes, wet or dry, must be worn at all times. The only exception is the volleyball court. Please, no flip flops outside of the dorms Do not leave money in the cabin. No running or climbing on the A-Frame roof. No students allowed on dock, trail, or marsh boardwalk without an adult. No food or drink in dormitories. Rinse off the mud and sand outside at the hoses. Wet shoes can stay outside. Quiet hours are from 10:00 p.m. until 7:00 a.m. Collect only empty shells. Shells are to be rinsed off outside, not in the sink. Do not collect live sand dollar sea urchins. Campers are responsible for cleaning their dormitories before departure. Cleanup is supervised by the adults and agents in that dorm. No camper is to leave the Camp property without an adult. Put trash and recyclables in appropriate containers. The Burton 4-H Center wants to keep your child safe and our grounds maintained. Your assistance with these rules is greatly appreciated.

2016 Junior Camp at Burton 4-H Center Tentative Schedule MONDAY 2:00 p.m. ARRIVAL!! PLEASE do not arrive later than 2:30 p.m. Arrival - Campers and Agents report to Galley porch (Dining Hall) 2:30-3:15 p.m. Registration and move into Dorms 3:30-3:45 p.m. Water Safety Instructions - Flamingo Room Adults and Captain meet at 3:30 Galley Porch. 3:45-5:45 p.m. Load Buses for Beach Time! 6:00 p.m. K.P. report to Galley (Dining Hall) 6:15-7:15 p.m. Supper Adult Meeting on front porch 6:25pm 7:15-7:45 p.m. Opening Skit and Introductions 7:45-8:30 p.m. Team meeting-color crews with adults 8:45-10:00 p.m. Camp wide Team Building/Get to know you activities Sno Cone Party Night recreation - dance and open rec Luau on Basketball Court (bring your grass skirt!) Canteen open at 9:00pm 10:15 p.m. Vespers 10:30p.m. To Cabins! 11:00p.m. Lights out!! TUESDAY 8:00 a.m. All color crews report for Flag Raising and Mail Call K.P. report to Galley 8:15-8:45 a.m. Breakfast 9:30-11:00am Beach Time (leave beach at 10:45am) 11:15 p.m. KP Reports 11:30-12:15 p.m. Lunch (canteen open 12:00-12:25) 12:30-2:30 p.m. Voyage with Counselors #1 Orange Team Tybee Time Blue Team Marsh Trawl Yellow Team Tybee Time Purple Team Light House Tour Red Team- Light House Tour Green Team Light House Tour 2:30-3:00pm Open Rec and Canteen time 3:00-5:00 p.m. Voyage with Counselors #2 Orange Team Light House Tour Blue Team Light House Tour Yellow Team Light House Tour Purple Team Marsh Trawl Red Team- Crabs and Critters Green Team Crabs and Critters Turn over

5:15 p.m. K.P. report to Galley 5:30-6:15 p.m. Supper Adults meet at Galley @ 5:50pm 6:30-7:20 p.m. Team Meetings (plan talent show) crews w/adults 7:30-9:45 p.m. Voyage with Counselors #3 Ghost Tour in Savannah-loading buses at 7:30 8:30-9:45 p.m. Ghost Tours (bring coolers with juice? Pretzels, chips?) 10:30 p.m. To cabins straight from buses 11:00 p.m. Lights out!! WEDNESDAY 8:00 a.m. All Teams report for flag raising and Mail Call K.P. report to Galley 8:15-8:45 a.m. Breakfast 9:00-11:00 a.m. Class selection options: Project Linus, food bank, beach sweep Voyage with Counselors #4 Orange Team Marsh Ecology Blue Team Marsh Ecology Yellow Team Marsh Trawl Purple Team Select Class Red Team Select Class Green Team Select Class 11:15 p.m. KP Reports 11:30-12:15 p.m. Lunch (Canteen open 12:00-12:25) 12:30-2:30 p.m. Voyage with Counselors #5 Orange Team Marsh Trawl Blue Team Tybee Time Yellow Team Crabs and Critters Purple Team Tybee Time Red Team Tybee Time Green Team Tybee Time 3:00-5:00p.m. Beach Time (leave beach at 4:45) 5:15 p.m. K.P. report to Galley 5:30-6:15 p.m. Supper Adult meeting on porch @5:50pm 6:30-7:00 p.m. Color Crew meetings w/adults 7:00-9:00 Voyage with Counselors #6 All Teams Talent Show (Canteen open if time allows) 9:00-9:45 p.m. Dusk walk / Vespers -North Beach 10:30 p.m. Lights out!! THURSDAY 8:00 a.m. All Teams report for Flag Raising and Mail Call K.P. report to Galley 8:15-8:45 a.m. Breakfast

9:00-11:00 a.m. Class selection options: paint 4-H Center, Project Linus, food bank, beach sweep Voyage with Counselors #7 Orange Team Select Class Blue Team Select Class Yellow Team Select Class Purple Team Crabs and Critters Red Team Marsh Ecology Green Team Marsh Trawl 11:15 p.m. K.P. report 11:30-12:15 p.m. Lunch (canteen open 12:00-12:25) Adult meeting on porch @11:50am 12:30-2:30 p.m. Voyage with counselors #8 Orange Team Crabs and Critters Blue Team Crabs and Critters Yellow Team Marsh Ecology Purple Team Marsh Ecology Red Team Marsh Trawl Green Team Marsh Ecology 2:30p.m.-3:30p.m. Prep for River Street shopping/dinner Cruise 3:30p.m. Depart for River Street 4:00p.m.-4:45p.m. Shopping River Street 5:00p.m. Gather in Color Crews for head count 5:30-8:00p.m. Dinner Cruise 9:00-10:00 p.m. Night Recreation (canteen open on return) 10:00 p.m. Slide show 10:15 p.m. Vespers 10:30 p.m. To cabins - Pack!! 11:30 p.m. Lights out!! FRIDAY 7:15 a.m. Rise and shine! Dorm clean-up starts at 7:30! 8:00 a.m. Move out luggage and finish cabin clean-up Cabin inspection before breakfast 8:15 a.m. K.P. report 8:30 a.m. Breakfast 9:15 a.m. Grounds clean-up 9:30 a.m. Color Crew of the Week Award! Homeward Bound!! 9:45 a.m. Bus Departure!!

GEORGIA 4 H CODE OF CONDUCT 4 H ers Name: County Address: Phone School: Grade: Year: BEHAVIOR STANDARDS The Georgia 4 H Code of Conduct is valid for one year and applies to all activities coordinated through Georgia 4 H. 4 H ers are expected to attend all sessions as part of a planned program exhibiting positive character and behavior including (but not limited to) trustworthiness, responsibility, respectfulness, caring, citizenship and fairness. 4 H ers are expected to be responsive to the reasonable requests of leaders and respectful of the needs for their personal safety and the safety of others. 4 H ers should dress appropriately, use appropriate language and respect the rights of others. 4 H ers may not behave recklessly or in a manner which prohibits others from participating in the program in the manner attended. 4 H ers may have access to technology at UGA/CES offices and facilities. Technology use is for educational purposes. 4 H ers may not access inappropriate websites or materials. Realizing these guidelines are not all inclusive the University of Georgia Extension staff and volunteers reserves the right to make adjustments to these policies. CONSEQUENCES OF MISBEHAVIOR 4 H ers and adults who observe a breach in the Code of Conduct must report the misbehavior to the appropriate leader. The leader will complete an incident report and determine the next steps regarding the incident. If 4 H ers are found participating in actions listed below, law enforcement or other legal authorities may be notified and may lead the review and consequences related to the incident. In these incidents, 4 H ers may be removed from the event and suspended or expelled from future 4 H participation. These behaviors may include, but are not restricted to: Possession or use of illegal drugs Possession or use of a weapon Assault or harassment Inappropriate sexual behavior If the 4 H er is found participating in the actions listed below, 4 H leaders may be notified and may lead the review and consequences related to the behavior. 4 H ers misbehaving will have the opportunity to explain their actions to leaders in charge of the activity and may request a review board. The person coordinating the event may also convene a review board for the purposes of determining what has occurred and what disciplinary action should be taken. A review board will consist of one Extension faculty or staff member, two volunteers and three 4 H members. The Extension faculty member coordinating the event will serve as chairperson. In some cases, incidents are deemed serious and may be referred to law enforcement or other legal authorities. If the 4 H er receives consequences from the leader or through the review process, his/her parents/guardians may be notified; the 4 H er may be sent home at the parents expense and may be suspended from participation in 4 H events. Suspensions may be up to one year. If a 4 H er wishes to appeal the decision of the review board, the 4 H er must appeal in writing through the County Extension office. Appeals must be filed within 10 days of notification of the disciplinary action. The appeal is sent to the Program Development Coordinator of the 4 H member and the State 4 H Leader for ruling by the State 4 H Leader Following any disciplinary review, the person coordinating the activity will provide written notification to the appropriate parties including but not limited to the 4 H er, his/her parent/guardian and his/her county Extension faculty member. Breaking curfew or disturbing the peace Unexcused absences from the activities or premise of an event event Unauthorized use of vehicles during the event Reckless or inappropriate behavior Use of foul or offensive language Possession or use of alcohol or tobacco Breach of the 4 H Code of Ethics Remaining in the presence of those who are breaking the 4 H Code of Conduct Theft, misuse or abuse of public or personal property Possession of fireworks PARENT/GUARDIAN & 4 H er AGREEMENTS Release Waiver of Liability and Covenant Not to Sue I have read the Georgia 4 H Code of Conduct and agree to participate fully in all aspects of program activities. I understand the standard of behavior and agree to maintain such during 4 H programming. 4 H ers Signature Date I have reviewed the Code of Conduct and agree to all of its provisions. For the sole consideration of the Cooperative Extension Service s arranging for participation in 4 H programming, I hereby release and forever discharge The University of Georgia, the Board of Regents of the University System of Georgia, their members individually, and their officers, agents and employees from any and all claims, demands, rights and causes of action of whatever kind that I may have, either on my own behalf or in my capacity as a legal representative of my child, arising from or in any way connected with my child s participation in 4 H. I further covenant and agree that for the consideration stated above I will not sue the Institution, the Board of Regents of the University System of Georgia, it s members individually, its officers, agents or employees for any claim for damages arising or growing out my child s participating in the program. I understand that the acceptance of this Release, Waiver of Liability, and Covenant not to sue the Board of Regents of the University System of Georgia shall not constitute a waiver, in whole or part, of sovereign immunity by said Board, its members, officers, agents, and employees. I certify that my child is participating in 4 H with my knowledge and consent. I have read and understand all of the above policies. I also give permission my child s images, likeness, and voice to be used by the Board of Regents of the University System of Georgia by and on behalf of the University of Georgia in print or electronic form Parent/Guardian Signature Date Phone VALID FOR ONE YEAR FROM DATE OF SIGNING Revised November 2012

Georgia 4-H Medical Information & Release Form Event or Activity Date of Event/Activity 4-H ers Information Name County Address Date of Birth Grade Gender Cell Phone (if applicable) Parent/Guardian Information Name: Phone: Cell Phone: Name: Phone: Cell Phone: Please list the names of two adults other than parent/guardian who may be contacted in case of emergency. Name: Phone: Cell Phone: Name: Phone: Cell Phone: Medical Information The following information is requested in case of accident or illness to better treat your child. The information is optional and not required for participation in the 4-H event or activity. Name of Physician: Phone: Date of Last Physical Examination: Drug Allergies: Other Allergies Describe any recent illness or injury Describe any pre-existing conditions Describe any other circumstances that would help leaders or medical professionals in working with the 4-H er PARENT/GUARDIAN AGREEMENT: I understand that should a health problem arise, I will be notified but that if I can not be reached by telephone, such medical treatment, including surgery, as deemed necessary by competent medical personnel could be rendered; that such necessary information may be released for insurance purposes and that I understand the limitation of the coverage as indicated below. Furthermore, I am aware that participation in this event includes risk including, but not limited to, transportation to/from event, sports and recreational games, ropes courses, water activities, hiking, as well as risks that are not foreseeable. For the sole consideration of the Cooperative Extension Service s arranging for participation in 4-H programming, I hereby release and forever discharge The University of Georgia, the Board of Regents of the University System of Georgia, their members individually, and their officers, agents and employees from any and all claims, demands, rights and causes of action of whatever kind that I may have, either on my own behalf or in my capacity as a legal representative of my child, arising from or in any way connected with my child s participation in 4-H. I further covenant and agree that for the consideration stated above I will not sue the Institution, the Board of Regents of the University System of Georgia, it s members individually, its officers, agents or employees for any claim for damages arising or growing out my child s participating in the program. I understand that the acceptance of this Release, Waiver of Liability, and Convent not to sue the Board of Regents of the University System of Georgia shall not constitute a waiver, in whole or part, of sovereign immunity by said Board, its members, officers, agents, and employees. I certify that my child is participating in 4-H with my knowledge and consent. I have read and understand all of the above policies. I also give permission my child s images, likeness, and voice to be used by the Board of Regents of the University System of Georgia by and on behalf of the University of Georgia in print or electronic form. Parent/Guardian Signature INSURANCE COVERAGE INFORMATION (to be completed by county Extension personnel) Insurance for the event/activity has been purchased as indicated. For complete details of coverage, please contact the county Extension Office. Insurance for Summer Camp at Georgia 4-H Centers American Income Life Insurance (Plan 3) Date American Income Life Insurance (Dollar a Year Plan) Other Insurance Plan PLEASE COMPLETE BOTH SIDES

Over the Counter & Prescription Medication Summary 4-H ers Name County Please list any/all medication currently being taken by the 4-H er including prescription and over the counter medications. Additionally, parent/guardian should list any over the counter medication that may be given to the 4-H er in case of illness. 4-H personnel may not administer over the counter or prescription medication without parental/guardian approval unless prescribed by medical personnel. 4-H ers are expected to provide all medication(s) listed and administer the medication. If health facilities and/or personnel are available at the facility, a request may be made prior to the event to have medication administered by trained personnel. Additional copies of this page may be made as necessary. Name of Medication: Illness/condition is medication being taken for: Describe dosage and special instructions: Name of Medication: Illness/condition is medication being taken for: Describe dosage and special instructions: Name of Medication: Illness/condition is medication being taken for: Describe dosage and special instructions: Name of Medication: Illness/condition is medication being taken for: Describe dosage and special instructions: I am the parent/guardian of and give permission for the medications listed to be administered to as directed. Parent s signature Date April 20, 2012 PLEASE COMPLETE BOTH SIDES