4-H COVID-19 Survey Acknowledgment: Nevada County

All 4-H Leaders must acknowledge these revised COVID-19 guidelines for in-person 4-H meetings, activities, or events.

Please review these two safety documents:

Here are some additional resources that may be helpful:

Planning Strategies for In-person Meetings
Frequently Asked Questions

Face Mask Use

Outdoor activities with youth and adults: No face masks required.
Everyone must wear a face mask — In counties with substantial or high transmission of COVID-19 according to the CDC COVID data tracker and in counties with a state or local Public Health Order.
Persons who are not fully vaccinated for COVID-19 must wear a face mask while participating in 4-H activities indoors.

Until further notice, these are the guidelines to abide by even if county guidelines are different. If you have any question in regards to the above topics, please contact Jill Simmons at jcsimmons@ucanr.edu

*REVISED AUGUST, 2021*

✻ = Required

Name (First and Last): ✻

Email: ✻

4-H Club: ✻

Have you reviewed and do you agree to abide by the Basic Safety Standards? ✻

Yes No

Have you reviewed and do you plan to use the 4-H Safety Planning Protocol Checklist? ✻

Yes No

A Facility Use Request online survey must be completed and submitted two weeks prior to the proposed meeting. Complete the Facility Use Request survey even if the meeting is hosted at the leader’s home.

Please allow a MINIMUM of TWO WEEKS for the processing of any additional dates and times for existing insurance agreements. NEW agreements may take longer.

FOR EVENTS: A Facility Use Request online survey must be completed and submitted at least three weeks prior to the proposed EVENT.