2024 Jackson County 4-H Summer Camp Registration
Thank you for registering for summer camp with Jackson County 4-H! A Separate form must be completed for each student. Please provide your email below for confirmation.
Sign in to Google to save your progress. Learn more
Email *
JR Camp at Burton 4-H Camp June 3rd - 7th (7th & 8th Graders) 

Cost = $425

The camp fee of $425 covers transportation (partnership with neighboring county 4-H program), lodging, meals, camp t-shirt, and 4-H center fees. The deposit of $100 non-refundable deposit is due to the 4-H office within 5 business days. The remaining balance of $325 will be paid in three increments. First payment ($100) is due by Friday March 29th, 2nd payment ($100) is due by Friday, April 26th, and final payment ($125) is due by Monday, May 13th. If the deposit and balance are not paid on time, your camper(s) will lose his/her spot(s)and will be replaced by another 4-H’er on the waiting list. 

SR Extreme Camp at Pioneer Camp (Rock Eagle)  June 3rd - 7th (9th - 12th graders)

Cost = $425

The camp fee of $425 covers transportation, lodging, meals, camp t-shirt, and 4-H center fees. The deposit of $100 non-refundable deposit is due to the 4-H office within 5 business days. The remaining balance of $325 will be paid in three increments. First payment ($100) is due by Friday March 29th, 2nd payment ($100) is due by Friday, April 26th, and final payment ($125) is due by Monday, May 13th. If the deposit and balance are not paid on time, your camper(s) will lose his/her spot(s)and will be replaced by another 4-H’er on the waiting list. 

SR Camp at Wahsega June 24th - 28th  (9th - 12th graders)

Cost = $425

The camp fee of $425 covers transportation, lodging, meals, camp t-shirt, and 4-H center fees. The deposit of $100 non-refundable deposit is due to the 4-H office within 5 business days. The remaining balance of $325 will be paid in three increments. First payment ($100) is due by Friday March 29th, 2nd payment ($100) is due by Friday, April 26th, and final payment ($125) is due by Monday, May 13th. If the deposit and balance are not paid on time, your camper(s) will lose his/her spot(s)and will be replaced by another 4-H’er on the waiting list. 

Cloverleaf Camp at Camp Fortson July 1st - 5th (4th - 6th graders)

Cost = $425

The camp fee of $425 covers transportation, lodging, meals, camp t-shirt, and 4-H center fees. The deposit of $100 non-refundable deposit is due to the 4-H office within 5 business days. The remaining balance of $325 will be paid in three increments. First payment ($100) is due by Friday March 29th, 2nd payment ($100) is due by Friday, April 26th, and final payment ($125) is due by Monday, May 13th. If the deposit and balance are not paid on time, your camper(s) will lose his/her spot(s)and will be replaced by another 4-H’er on the waiting list. 

Please select appropriate camp week and location: (Grade is 2023/2024 School Year) A Separate form must be completed for each student and/or camp. *
4-Her's Last Name *
4-Her's First Name *
4-Her's Middle Initial *
4-Her's Address *
4-Her's City *
4-Her's Zip Code *
4-Her's School *
If School is Other...
4-Her's T-Shirt Size *
4-Her's Date of Birth *
MM
/
DD
/
YYYY
4-Her's Current Grade *
Gender *
4-Her's Racial Classification (check all that apply) *
Required
4-Her's Residence *
4-Her's Ethnicity
Clear selection
Parent's Last Name *
Parent's First Name *
Parent's Cell Phone *
Parent's Email *
Additional Parent's Last Name
Additional Parent's First Name
Additional Parent's Cell Phone
Additional Parent's Email
Are there any health concerns or special needs you'd like the extension office to be aware of?
A $100 deposit is due within 5 business days after completing registration. By adding your initials on the registration form, you are confirming that you understand the Camp Cost associated with your chosen camp and will have your payments submitted by the specified dates listed. Payments can be made by calling (706)367-6345 (most major credit/debit cards excepted) or by cash/check at 255 Curtis H. Spence Dr., Jefferson, GA 30549. Office hours Monday - Friday 8 am - 5 pm (closed for lunch from 1 pm - 1 pm) *
We will be offering a limited number of scholarships for all camps. Are you interested in applying for a camp scholarship? If, yes, more information will be sent. The $100 deposit is required, however if your application is chosen the remaining balance will be covered by scholarship. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms