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Code of Conduct
Consequences Unacceptable behavior during a 4-H program/event (as defined within this Virginia 4-H Standardized Code of Conduct or through a review process by 4-H staff/volunteer) will result in consequences to the participant. Consequences may include:
NOTE: Any conduct not specifcally covered by this Virginia 4-H Standardized Code of Conduct, but deemed inappropriate by those responsible for the 4-H program/event will be viewed as a violation and appropriate action will be taken. If an infraction occurs, the person in charge of the 4-H program/event will provide appropriate communication to parents/guardians.
Signature(s) (Both signatures are required for participants under 18 years old.)
I have read and understand the above “Code of Conduct” and will abide by the expectations described in the Code-of-Conduct. I understand that if I act inappropriately I will have to accept responsibility for my actions that may result in the consequences listed above.
Participant Name
Participant has read and understands the above “Code of Conduct” and will abide by the expectations described in the Code-of-Conduct. Participant understands that if they act inappropriately they will have to accept responsibility for their actions that may result in the consequences listed above.
I have discussed and reviewed this “Code of Conduct” with my child. I understand that failure to abide by this ‘Code of Conduct’ may result in the consequences listed above which includes no refund. In the event that this code is violated, I agree to come to the 4 -H program/event to pick up my child at the request of the adult in charge of the 4 -H program/event. I further understand that I refuse to pick up my child, am unavailable, or fail to make timely arrangements to retrieve my child, 4 -H program/ event staff may contact law enforcement or social services to provide necessary protection for a child in need of services. I acknowledge responsibility for all fees/charges that may result from said services.
Parent Name
Parents phone number
Participants may only be picked up from a 4 -H program/event by the person designated on this Form. Identifcation may be requested at the time of pick-up.
Who will be picking up your child/children?