Liberty County 4-H Camp Registration Form
Welcome to the Liberty County 4-H Camp Registration Form! The Liberty County 4-H Program has elected to use this online registration form as a way to make the camp registration process more efficient. Please read through the following form carefully and be sure to review your answers before submitting. We look forward to seeing you soon! PLEASE NOTE: Official camp registration has ENDED.  However, we do have limited spots available.  You are welcome to use this form to register your child for camp but we can not guarantee any spots at this time. Cloverleaf Camp is FULL, but you can register for our wait list.  Wilderness Challenge is also full and there is NO waitlist for this camp.   When registering for a camp that isn't full, you must make a $75 deposit to secure your spot. When you do come in to make a payment, we only accept cash, check, or money orders at this time.  

Camp Info
- Senior Extreme Camp, June 3rd-7th, $420, For 9th-12th graders

- Wilderness Challenge, June 17th-21st, $420, For 6th-8th graders - Wilderness Challenge Camp is FULL

- Senior Camp, June 24th-28th, $420, For 9th-12th graders

- Cloverleaf Camp, July 1st-5th, $360, For 4th-6th graders 

- Junior Camp, July 15th-19th, $420, For 7th-8th graders


Sign in to Google to save your progress. Learn more
Enter your camper's first and last name.
What school does your camper attend?
What grade is your camper currently in? (2023-2024 School Year)
Clear selection
Which camp are you signing your child up to attend?
What gender is your camper?
Clear selection
What shirt size is your camper?
Clear selection
Please highlight any special concerns below (only use this option if you have an immediate concern that you need to address with the Liberty County 4-H staff. After your child is officially registered, you will receive a medical form that can be completed. 
Enter primary parent or guardian's name.
Enter primary parent or guardian's email.
Enter primary parent or guardian's phone number.
Enter secondary parent or guardian's name.
Enter secondary parent or guardian's email.
Enter secondary parent or guardian's phone number.
Early Dismissal from Camp Agreement

In an effort to have all parties involved with camp prepared in the case of a disciplinary event, illness, or exposure to a communicable illness, the parent or guardian will be responsible to pick their 4-H’er up if they are notified to do so. By clicking "I agree" on the registration form, you are confirming that in the event of an early camp dismissal, you will be responsible for providing transportation for your camper.
Clear selection
Refund Policy Agreement

Refunds for camp fees will only be given for the following reasons:

• There is a doctor’s note excusing the camper due to illness/injury
• There is a death in the immediate family
• Other extenuating circumstances will be handled on a case-by-case basis

By clicking " I agree" on the registration form, you are confirming that you understand the Refund Policy Agreement and will abide by the policy established by the agreement.
Clear selection

In order to completely register your child/secure a camp spot, a $75 non-refundable deposit must be made in-person at the Liberty County Extension Office, located inside the historic courthouse in downtown Hinesville.  Our physical address is 100 North Main Street, Suite 1200, Hinesville, Ga 31313.  We are open from 8:00-12:00 and 1:00-5:00 daily. We accept cash, check, or money orders only.         

Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Georgia. Report Abuse
Google Forms