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4-H Junior Camp Application Applications accepted on a first come, first serve basis! Preference given to Goochland County residents. Campers name Birthdate Gender Parent/Guardian (print) Parent/Guardian Signature Mailing address City State ZIP Home phone Work/cell phone e-mail address First time camper: O Yes O No C.I.T (Counselor in Training): O Yes O No Circle t-shirt size: Child: Med Lg Adult: Sm Med Lg X-lg XX-lg Cabin mate: Every effort is made to bunk your child with at least one friend. Be sure your childs friend is registered for this camping session. Your child will be assigned to different groups during camp activities. 1st Choice 2nd Choice 3rd Choice FEE: $310 per camper No application accepted without payment. Slots filled on a first come, first served basis. Make check/money order payable to: Treasurer, Virginia Tech No refunds after June 1, 2019. Return application & full payment to: Goochland Extension Office 2748 Dogtown Road Goochland, VA 23063 $50 fee for returned checks. Old Enough? Too Old? Junior Camp is open to all youth ages 9-13 (at least 9 years old by September 30, 2019). Youth who turn 13 by January 1, 2019 must attend camp as a CIT (Counselor-in-Training). Price: $310 Camp fee covers lodging, meals, most activities, transportation, and programs. There may be a supply fee for some classes which is noted in the camp newsletter. Details, including bus schedule, are also in the camp newsletter. Slots filled on a first come, first served basis. No registrations accepted after June 1, 2019. Limited Scholarships available based on need 4-H Camp Before Time! This years camp theme is 4-H Space Camp! We will travel back in time to the land of dinosaurs. If you have a space-related hobby or talent to share during our camp week, please contact our office ! Refund Policy Receive a refund less $50 if you cancel in writing by June 1, 2019. No refunds after June 1, 2019. $50 fee for returned checks. Because of the high demand, Goochland County residents will get preference for camp slots.

4-H Junior Camp Application - Virginia Tech · teach and have fun. Trained adult volunteers give their time and talent to insure your child has a fun and safe adventure. The residential

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Page 1: 4-H Junior Camp Application - Virginia Tech · teach and have fun. Trained adult volunteers give their time and talent to insure your child has a fun and safe adventure. The residential

4-H Junior Camp Application Applications accepted on a first come, first serve basis!

Preference given to Goochland County residents.

Camper’s name Birthdate Gender Parent/Guardian (print) Parent/Guardian Signature Mailing address City State ZIP Home phone Work/cell phone e-mail address First time camper: O Yes O No C.I.T (Counselor in Training): O Yes O No

Circle t-shirt size:

Child: Med Lg

Adult: Sm Med Lg X-lg XX-lg

Cabin mate: Every effort is made to bunk your child with at least one friend. Be sure your child’s friend is registered for this camping session. Your child will be assigned to different groups during camp activities. 1st Choice 2nd Choice 3rd Choice

FEE: $310 per camper

No application accepted without payment. Slots filled on a first come,

first served basis. Make check/money order payable to:

Treasurer, Virginia Tech

No refunds after June 1, 2019.

Return application & full payment to:

Goochland Extension Office 2748 Dogtown Road Goochland, VA 23063

$50 fee for returned checks.

Old Enough? Too Old?

Junior Camp is open to all youth ages 9-13 (at least 9 years old by

September 30, 2019). Youth who turn 13 by January 1, 2019 must attend

camp as a CIT (Counselor-in-Training).

Price: $310

Camp fee covers lodging, meals, most activities, transportation, and

programs. There may be a supply fee for some classes which is noted in the

camp newsletter. Details, including bus schedule, are also in the camp newsletter. Slots filled on a first

come, first served basis. No registrations accepted

after June 1, 2019.

Limited Scholarships available based on need

4-H Camp Before Time! This year’s camp theme is 4-H Space Camp! We will travel back in time to the land of

dinosaurs. If you have a space-related hobby or talent to share during our camp week,

please contact our office !

Refund Policy Receive a refund less $50 if you cancel in writing by June 1, 2019. No refunds after June 1, 2019.

$50 fee for returned checks.

Because of the high demand, Goochland County residents will get

preference for camp slots.

Page 2: 4-H Junior Camp Application - Virginia Tech · teach and have fun. Trained adult volunteers give their time and talent to insure your child has a fun and safe adventure. The residential

Get Into Camp Camp is an opportunity to make new friends, learn and have fun in a safe environment. For evening fun, there’s a pool party and singing around the campfire. Campers select their own classes onsite (archery, kayaking, air rifle, arts/crafts, and much more).

Who’s Coming to Camp? Powhatan, Goochland and Hanover counties camp as one big group, giving campers the chance to make friends beyond county lines. Trained teen counselors learn, supervise, teach and have fun. Trained adult volunteers give their time and talent to insure your child has a fun and safe adventure. The residential camp staff includes instructors, medical personnel, lifeguards, maintenance, food service, office support, program coordinator and a director. 4-H Extension Agents from all three counties join the fun!

Before You Decide 4-H Camp is a busy, exciting week away from home. If your child has not spent several nights away from you or home, Camp may not be the place to start.

Also, camp is a communal living situation, consider your child’s need for privacy, ability to share and responsibility of

his/her own possessions.

Do not send your children if they do not want to attend camp.

If you are a person with a disability and desire any assistive devices, services or other accommodations to participate in

this activity, please contact the Goochland Extension Office at (804) 556-5873 or TDD* during business hours of 8:30 a.m.

and 5 p.m. to discuss accommodations 5 days prior to the event. *TDD number is (800) 828-1120.

Extension is a joint program of Virginia Tech,

Virginia State University, the U.S. Department of Agriculture, and state and local governments.

Questions? Registered campers will receive a

packet in May with a newsletter, details, medical forms, helpful hints and the inevitable paperwork and deadlines.

Contact Sarah Crews, 4-H Extension Agent

2748 Dogtown Rd Goochland, VA 23063

(804) 556-5873 [email protected]

If you’d like to check out the site before camp...

Call for a tour! Jamestown 4-H Center

3751 4-H Club Road Williamsburg, VA 23185-7904

(757) 253-4931

http://www.jamestown4hcenter.org

Jamestown 4-H Camp is located outside of

Williamsburg along the River James.

The facilities include air conditioned cabins and lodges, swimming pool with diving board,

a health clinic, air rifle and archery ranges,

boardwalk, 100 foot pier, amphitheater for

campfire programs, basketball courts and

picnic pavilions. Air conditioned rec hall and dining facility are added amenities.

With 16 wooded and open acres, Jamestown

offers a rustic, country atmosphere.

Jamestown 4-H Educational Center

Williamsburg, VA

Goochland County

4-H Junior Summer Camp

July 15-19, 2019