
2026 ROCK EAGLE SUMMER CAMP CURRENT 4TH, 5TH, AND 6TH GRADERS June 1-5, 2026 Total Cost: $465 $150 deposit due at Registration Check, Money Order, or Credit Cards accepted Registration is ONE DAY ONLY! Saturday, February 21, 2026 8am-10am Effingham County UGA Extension Office 601 N. Laurel Street Springfield, GA First come, first served - ARRIVE EARLY! Canoeing Sports Archery • Nature Hikes • Swimming ⚫ Sailing Water Games. Variety Show ⚫ Reptiles Ropes Course & More Price includes all camp activities, transportation, meals while at camp, 4 nights lodging Camp Scholarships are available; see your teacher for information or contact the 4-H Office presented by: UGA Extension Effingham County 601 N. Laurel Street. | Springfield, GA 31329 (912) 754-8040 Office Hours: 8am-12pm & 1pm-5pm

OFFICE USE ONLY! Amount of Deposit: Payment Type: Application # Registration for 4-H Summer Camp is Saturday, February 21, 2026 from 8am-10am at the Extension Office in Springfield. You will need to bring a Completed Application and $150 Deposit. Camp Registration is first come, first served and spaces are limited! Applications received after 10am on Saturday, February 21 will be considered ONLY if there are remaining camp spots. Balance due by 5pm on Monday, May 4, 2026 4-H CAMPER INFORMATION- 2025-2026 Grade: 4th 5th 6th School Name: Are you a returning camper? YES NO Can your child swim? YES NO (optional) Age:_ Birthdate: Gender: M F Race: Mailing Address: City: T-Shirt Size: YS YM YL AS AM AL AXL AXXL Special Needs or Health Concerns: Parent/Guardian Name: PARENT/GUARDIAN CONTACT INFORMATION Zip: Parent/Guardian Cell Phone: Additional Phone:_ Parent/Guardian Email Address: Name 1: Name 2: (please print clearly, we will send reminders through email periodically, so please put an email that you check frequently) CAMPER CABIN REQUEST List two names of people you would like to be in the cabin or workshops with. (this is not guaranteed— In most cases you will be in the cabin with people from your school.) Please sign the following statement: School: School: I understand that this application and a $150 NON-REFUNDABLE deposit is due to the 4-H office for 4-H camp registration. The remaining balance of $315 and all forms are due May 4. If not paid by this date my child may lose their spot and be replaced by another 4-H'er. Once the balance is paid, it cannot be refunded without a written doctor's excuse. Summer school is not an excuse for refund. Parent/Guardian Signature: _ 4-H'er Signature: Date: Date: Camp Form & Final Balance DUE: by 5pm on Monday, May 4, 2026 Visa & Master Card Credit Cards are accepted. Payment plans are available upon request. If you fail to pay your balance by May 4 your child's name will be removed from the camp list. Fundraiser information will be available at 4-H Summer Camp Registration.
Flyer ID 2999813
Sent from Effingham County Schools
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