skip to content

Survey Header Image

Plumas-Sierra 4-H 2019 Summer Camp Registration

Plumas-Sierra 4-H 2019 Summer Camp

Camp TimberWolf

Lower Bucks Lake

June 17-June 21

Directions to Camp Timberwolf from Quincy

Find out more about camp here!

Cost of Camp registration is $300 per youth. All youth attending 4-H Summer Camp must be registered with the 4-H program. If you are not currently registered, there will be an additional $60 program registration fee. Registration is not complete until payment is made in full.

Due to the popularity of camp a wait list is anticipated. Camper registration is accepted on a first come first serve basis.

We are still looking for a few parent volunteers- without our volunteers camp can't happen! If you want to spend an amazing week up at camp with us as an adult chaperone, your child can attend camp for free! Email Kari at koreilly@ucanr.edu if you're interested!

Please fill out one of these surveys for every child attending camp.

If you have any questions please email Kari at koreilly@ucanr.edu

✻ = Required

Camper Information

Camper Name ✻

Mailing Address ✻

City, State, Zipcode ✻

Date of Birth ✻

Camper age (all campers must be at least 9 years old by start of camp) ✻

What is camper gender ✻

Female Male Gender idenity not listed

Is camper a current member of a 4-H Club? ✻

Yes No

If yes, what is the 4-H Club name?

If no, then please go to https://www.4honline.com/ and enroll you child in 4-H. Your camp enrollment is not complete until the camper is registered in 4-H. If you have any questions about this or need help, please email Kari at koreilly@ucanr.edu

Does camper have any allergies? ✻

Yes No

If yes, please explain

Does Camper take medication ✻

Yes No

If yes, Please explain

Does camper have any dietary restrictions? ✻

Yes No

If yes, please explain

Parent/Guardian Information

Parent Guardian Name

Home Phone Number

Cell Phone Number

Email

Additional Camp Information

Please Note: Cabins are divided by age group. Cabin requests will be accommodated when possible.

I request for my child to be in a cabin with

Are there any additional details about your camper that you would like to share?

Camp Payment

Please pay this amount if your child is already a 4-H Member.

$300.00 Quantity:

Please pay this amount if your child is not currently a 4-H member

$360.00 Quantity:

Please pay this amount if your child has received a half price scholarship. (ONLY choose this option if you have applied for a scholarship and received confirmation.

$150.00 Quantity:

Please pay this amount if your child is a Camp Counselor who is already enrolled in 4-H.

$100.00 Quantity:

Please pay this amount if your child is a 4-H camp counselor who is not currently enrolled in 4-H.

$130.00 Quantity: