What is 4-H Camp?

4-H Camp is a fun oppor-tunity for boys and girls to learn citizenship, leader-

ship, and life skills through hands-on experiences. The camping program helps youth build self-esteem and challenges them to think critically and creatively. Campers enjoy being part of a larger group and participating in campfires, recreation and classes which may include archery, dance, canoe, kayak, sailing, swimming, sew-ing, arts and crafts, outdoor living skills, challenge course, marine sci-ence, air rifle, wood working, robotics and more!

A parent should know:

Camp at Jamestown 4-H Educational Center is accredited through the American Camping Association.

Camp staff is trained and highly quali-fied. Jamestown has approximately 15-20 collegiate staff members.

12 trained adult volunteers attend camp with Gloucester as well as 28 trained teen counselors.

Camp provides air-conditioned cabins and lodges. Meals are served family style in the dining hall, and snacks may be purchased at the camp store during free rec.

We strive to make accommodation for those with special needs, so please call us if you have any questions.

Camp has a wonderful, enormous pool with certified lifeguards on duty.

Supervision ratio at Camp is 1:8

We invite you to learn more about 4-H and

4-H camp! Visit Jamestown 4-H Center on the

web at :

http://www.jamestown4hcenter.org/

Check out Gloucester 4-H at

http://offices.ext.vt.edu/gloucester/

programs/4h/index.html

Interact with us on Facebook by liking

Gloucester County 4-H

Call Krista Gustafson or Jackie Jefferis

at 804-693-2602.

Gloucester County 4-H Camp at Jamestown 4-H Educational Center

June 25-June 29, 2018

Teamwork Grows Here

Friendship Grows Here

Leaderships Grows Here

Camp memories last a lifetime.

Come grow with us!

Registration Information

Who can go to camp: Ca mp is for youth in grades 3

-8 who a re 9 yrs old by Sept 30 , 2018 . Youth who

turn 14 before Ja n 1, 2018 can only attend camp as

a Counselor in Training. (CIT). CITs must be 13 by

Jan 1, 2018. Youth who turn 15 before Jan. 1 can

only attend camp as a counselor. Campers who

reside in Gloucester County, attend Gloucester

schools or a re members of Gloucester 4 -H Clubs are

given first option. Youth do not have to be a 4 -H

member to attend camp.

Camp Fees: The total cost per child is $250 a nd

includes all expenses with the exception of items

purchased at the camp store which may include

souvenirs and snacks. The camp fee covers lodging,

all meals, classes and recreation as well as the camp

tee shirt.

Registration and Deadlines for Paperwork

Application and $75 non-refundable deposit is due

to reserve a spot at camp. Registration open unti l

camp is filled.

Cancellations must be ma de on or before May 15 to

receive refund less $75. Refunds will take approxi-

mately 30 days.

The Big Camp Packet:

You will receive the big camp packet with health

forms and more information around April 15 or as

soon as you submit the registration form if you are

registering after that date. Complete the entire

packet. We will not accept incomplete packets.

Campers may also list 3 campers that they would

like to have in the same cabin. We do our best to

place campers with at least one person from this

list. Campers will select classes at camp. There a re

tons of new classes and we look forward to an ex-

citing camp!

1. Detach and complete the regis tration form.

2.Make Checks payable to : VCE -Gloucester

Return the form and deposit or full payment by

mail to:

Or deliver in person to 7400 Ca rriage Court.

3. You will be mailed the big camp packet a round

April 15. Complete all forms and return to the Ex-

tension Office by May 15!

4. If you have paid in installments, fina l payment is

due on May 15 with your camp paperwork. We will

extend a 2 week grace period with prior a rrange-

ments, after which your child may be removed from

the camp list without refund.

5. Through generous support of community donors

we have a limited supply of partial scholarships. To

apply for a camper schola rship, please contact our

office at 693 -2602. There is a sepa rate application

process.

Gloucester County 4-H Camp

P.O. Box 156

Gloucester, VA 23061

Please Follow these steps to register

We do not accept registration until February 1. Do not mail early.

Virginia Cooperative Extension programs and employment are open to all, regardless of age, color, disability, gender, gender

identity, gender expression, national origin, political affiliation, race, religion, sexual orientation, genetic information, veteran

status, or any other basis protected by law. An equal opportunity/affirmative action employer. Issued in furtherance of Coop-

erative Extension work, Virginia Polytechnic Institute and State University, Virginia State University, and the U.S. Department

of Agriculture cooperating. Edwin J. Jones, Director, Virginia Cooperative Extension, Virginia Tech, Blacksburg; M. Ray McKin-

nie, Administrator, 1890 Extension Program, Virginia State University, Petersburg.

if you are a person with a disability and desire any assistive devices, services or other accommodations to participate in th is activity, please contact Krista Gustafson, Gloucester County Extension at (804-693-2602)during business hours of 8 a.m. and 4:30 p.m. to discuss accommodations 5 days prior to the event. *TDD number is (800) 828-1120.

Gloucester County 4-H Camp Registration Form

Jamestown 4-H Center, June 25-29. Registration starts in February

Camper’s name:_________________________________________________________

Mailing Address:_________________________________________________________

Where all camp correspondence should be sent

City:_________________________________ State:___________ Zip:______________

Gender____________ Birth date:____________ Current Camper Age:___________

1. Race (circle all that apply): White Black Hispanic Asian American Indian Multicultural

2. Have you attended 4-H camp in the past? Yes No

3. Where do you live? (circle one) Town/City Rural Farm

4. Grade in School Now: ____________ Name of School: ___________________________________________

5. Counselor in Training Age 13 by 1/1/17 YES__________ NO________ If you think you will want to be a

camp counselor one day, this is how you get started.

6. Is parent active-duty military or retired? ___________________ What branch? _______________________

Parent/Adult

Contact Info

Parent/Gua rdian # 1

Name

Parent /Guardian # 2

Name

Home phone

Work phone

Cell phone

Email

Primary Contact? Yes No Yes No

Please Circle the best means of contacting a parent between the hours of 8 AM and 4:30 PM

T– Shirt Size: Circle one Adult Small Adult Medium Adult Large Adult XL

Payment in Full $250 ____ Deposit only $75 _____ Other _____

There will be a $50 fee on all returned checks

FOR OFFICE USE ONLY

Cash______________ Check # ___________________ Amt pd _____________________

Date Received______________________ Camper Number_______________

We do not accept registration until February 1. Do not mail early.