Tuolumne 4-H In- Person Activity Request

Leader Name: ✻

Email: ✻

Club/Project Name: ✻

Facility Address: ✻

Location name:

Location Type: ✻

Open to public: ✻

Is the total number of participants (leaders, youth, and guardians) less than 10? ✻

Are you able to maintain 6ft social distancing at this location? ✻

Have you completed the required leader training for resuming in-person activity training for stage 2 by reading the following:

1. Mitigation Standards Summary for COVID-19, Stage 2.

2. Safety Standards for Resuming In-Person Activity, Stage2.

3. ✻