4-H Camp Forms

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Below are many of the forms, documents & other publications Extension Agents or Staff may find necessary or helpful in planning camp and recruiting, screening and training volunteers. Unless otherwise noted, all links go directly to pdf documents. To save on your computer, right-click and choose "Save As.."


Camper Forms

Code of Conduct

Equine Release (Horse Waiver)

Generic Waiver

Medication Form

Special Dietary Needs Form

Youth Health History/Medial Release


Volunteer Forms 

Adult Health Form

Standards of Behavior for Virginia 4-H Volunteers

Virginia 4-H Camp Staff/Volunteer Checklist & Documentation Form


Volunteer Training Forms & Resources 

Adult Volunteer Job Description

CIT Job Description 

Teen Counselor Job Description

Teen Counselor Reference Form

Teen Counselor Standard Application

Virginia Sex Offender Registry

National Sex Offender Registry

Virginia 4-H Camping Online Volunteer Training Modules (VCE Website)

Tool For Determining Readiness for Camp

Tool for Determining Readiness for Camp (Answer Key)


Camp Planning & Risk Management

Risk Management Emergency Card

Risk Management Flow Chart For New Camp Programs & Classes

Virginia 4-H Camp Class Curriculum Guide

Virginia 4-H Camping Handbook

Virginia 4-H Camping Song Book


Misc. Camp-related Forms & Pubs

4-H Camp Early Release & Withdrawal Form

Accident & Incident Report Form

Benefits of 4-H Camping

Extenstion Agents Quick Guide

Medication Collected at Units Form (PDF) (Word)

Summer Camp Menu

Our Mission

Holiday Lake 4-H Educational Center's mission is to improve the quality of life through educating youth and adults in a natural setting.

Contact Us

1267 4-H Camp Road
Appomattox, VA 24522

(434) 248-5444