The theory of inclusion is the foundation for the study reported here; inclusion is a focus not only of formal education, but also of nonformal educational settings such as 4-H. Ideally, 4-H camps are designed to serve youth of all backgrounds and abilities. By accommodating youth with special health care needs, 4-H camps are effectively meeting the standards of the IDEA Act and the theory of inclusion. Results include current practices, strengths, weaknesses, and the comparison of such practices at 4-H and ACA camps. Camps are encouraged to use the conclusions from the study in planning and improvement efforts.