2026 Camp Chaperone Application
THANK YOU for your interest in joining us at 4-H Summer Camp!  Please reach out the the Extension 4-H Educator in your county with any questions about camp.

IMPORTANT DATES:
May 1 - Chaperone Applications Due
June 9 - Counselor Training & Camp Planning Event (Optional)*
July 1 - Pre-Camp Zoom for Campers, Counselors & Chaperones
July 29-31, 2026 - 4-H Summer Camp at Upham Woods, Wisonsin Dells
*Chaperones are welcome, but not required to attend camp planning on June 9th.

Chaperone Requirements:
  - Must be at least 21 years old
  - Be an approved 4-H volunteer (including background check and volunteer training)
  - Health Coordinators need additional certifications


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Email *
First Name *
Last Name *
Street Address *
City, State, Zip *
Phone *
Cell Phone *
Email *
County *
T-Shirt Size (Adult Sizes) *
Are you currently a certified 4-H volunteer? *
Do you have any additional certifications? (Not required)
Do you have a child who will be attending 4-H Summer Camp? *
If you have a child who is registered for camp, what is your child's name and grade?
What age group do you prefer to work with during camp? (select all that apply) *
Required
Describe any past camp and/or chaperoning experience.  *
What interests you about chaperoning? What are your expectations? *
All adult volunteers are primarily chaperones, but please indicate below if there are any additional roles you would like to assist with during 4-H Summer Camp. 
Volunteers are essential to a successful camp! We want to match your interests & talents with the programs being offered at camp.  Please let us know if you would be willing to lead or assist with any of the following activities at camp. (check all that apply)
What to Expect as a 4-H Camp Chaperone
  • Your role is to support the efforts of youth camp counselors. You will not be in a lead role, but rather, as a supporting cast member, you will work behind the scenes to help everything go smoothly. 
  • You will be assigned to accompany and reside with a cabin group with 10-15 kids and 2-3 counselors.  We do not guarentee that you will be placed in the same group as your child.  If you prefer to be placed with your child, please talk with the 4-H Educator in your county.
     
  • Time Commitment: 4-H Summer Camp is a three day program. We anticipate you'll want to engage in most camp activities, however you will also have some down time. 

  • Transportation: Some counties may require your assistance to fulfill the adult/child ratio on the bus to and from camp. If you prefer to drive your own vehicle, please contact your 4-H Educator. 

  • Fees:  Your camp registration fee is covered, as is one 4-H camper fee for your child.

  • Housing: Chaperones stay in the cabins with their group of counselors and youth. This may or may not include your child(ren). 

  • Meals and snacks are provided - including coffee! 

  • Remember that you are a role model for both the counselors and the campers and that FUN is included!
Expectation Agreement for Driftless 4-H Summer Camp
If selected as an Adult Camp Chaperone I understand and agree that:
  • My role at camp is to provide a positive, nurturing, fun environment for campers and counselors
  • I will treat other staff, counselors, and campers with dignity and respect
  • I will not allow or participate in any kinds of initiation activities (skits, pranks, jokes) during camp.
  • I will attend all meals, campfires, and programs with my assigned group unless given other duties by the Camp Directors. 
  • I understand that the use and possession of alcohol, tobacco, or other drugs is cause for instant dismissal. 
  • I understand that verbal, sexual or physical abuse towards other people; including staff, counselors or campers is instant dismissal. 
  • I will only use my cell phone for personal use when away from campers and counselors (using it to take appropriate pictures of activities or camp use is permissible). 
  • I will remain at Upham Woods during the camp sessions, unless approved by a Camp Director. 
  • I will follow all rules and regulations set forth by Upham Woods Outdoor Learning Center. 
I understand that if I break any of these expectations listed above that my actions could results in my early departure from camp, removal as a leader in the Wisconsin 4-H program, additional county action. 
Please type your name below to show agreement with the statements above.  *
Thank you for submitting your application!  We will be reviewing all of the 4-H summer camp chaperone applications and let you know by May 15th.

An EEO/AA employer, University of Wisconsin-Extension provides equal opportunities in employment and programming, including Title VI, Title IX, and the Americans with Disabilities Act (ADA) requirements.  
A copy of your responses will be emailed to the address you provided.
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