Name_________________________________________________________________________________________________
Phone________________________________
Address______________________________________________________________City __________________________________ Zip ______________________
Age on 1-1-99 (must be at least 13 yrs old) __________________________________
4-H Club_________________________________________________________________________Years in 4-H ________ Yrs. in Horse _________
What size t-shirt does the camper wear? (adult sizes) Circle one SM MED LG
Riding Level Beg[ ] Int.[ ] Adv[ ]
Horse's name____________________________________________________________________mare[ ] gelding[ ]
2nd Horse's name ____________________________________________________________________mare[ ] gelding[ ]
CLOTHES AND TACK MUST BE TO RULE BOOK STANDARDS,BUT DON'T HAVE TO BE YOUR BEST. IT'S EASY TO LOSE TRACK OF STUFF AT CAMP!
FITTING AND SHOWING:BEG {} INT{} ADV{}
STOCKSEAT EQUITATION: BEG{ } INT{ } ADV{ } MEDALS{ }
HUNTSEAT EQUITATION:BEG{ } INT{ } ADV{ } MEDALS { }
TRAIL: BEG{ } INT{ } ADV{ }
BARRELS { }
POLE BENDING { }
ARENA RACE { }
Please enclose the following:
Campers may go home at night with parent instead of sleeping
at camp but may not sleep with anyone else besides assigned sleeping arrangements.
PLEASE CHECK OF THE OPTIONS FOR SLEEPING
ARRANGEMENTS
My child will go home at night to sleep. Person authorized to remove child from camp (MUST sign out child when leaving and in when arriving)
Authorized person____________________________________________________________________
______ Please assign sleeping arrangements for my Child
Mail forms to : Debbie Avritt H.C. 31 Box 5114, Wasilla,
Ak. 99654 Phone: 376-2370
Make checks payable to Mat-su 4-H Horse Council
PARENT VOLUNTEER FORM
Childs name ________________________________________________________________________ Phone #______________________________
Parents name __________________________________________________________________ Are you an E.M.T or R.N. __________________
Please check
job you would like to do at camp. |
Date | Time | Job | Total Hours |
_______ | June 8 | 5p.m.-9p.m. | Help in kitchen | 4 |
_______ | 11p.m.-7a.m. | Night Walker | 8 | |
_______ | 7p.m. | Set up Craft tent | 2 | |
_______ | Evening | Water arenas | 2 | |
_______ | June 9 | 7:30a.m.-9:30a.m. | Help in Kitchen | 2 |
_______ | June 9 | 11a.m.-1p.m. | Help in Kitchen | 2 |
_______ | June 9 | 5p.m.-7p.m. | Help in Kitchen | 2 |
_______ | June 9 | 9a.m.-1p.m. | Help on the grounds | 4 |
_______ | 1p.m.-5p.m. | Help on the grounds | 4 | |
_______ | 11p.m.-7a.m. | Night Walker | 8 | |
_______ | Evening | Water arenas | 2 | |
_______ | June 10 | 7:30a.m.-9:30a.m. | Help in kitchen | 2 |
_______ | 11a.m.-1p.m. | Help in kitchen | 2 | |
_______ | 5p.m.-7p.m. | Help in kitchen | 2 | |
_______ | 9a.m.- 1p.m. | Help on grounds | 4 | |
_______ | 1p.m.-5p.m. | Help on grounds | 4 | |
_______ | 11p.m.-7a.m. | Night Walker | 8 | |
_______ | Evening | Water arenas | 2 | |
_______ | June 11 | 7:30a.m. - 9:30a.m. | Help in Kitchen | 2 |
_______ | 11a..m.-1p.m. | Help in Kitchen | 2 | |
_______ | 5p.m.-7p.m. | Help in Kitchen | 2 | |
_______ | 9a.m.-1p.m. | Help on the grounds | 4 | |
_______ | 1p.m-5p.m. | Help on the grounds | 4 | |
_______ | 11p.m.-7a.m. | Night Walker | 4 | |
_______ | Evening | Water arenas | 2 | |
_______ | June 12 | 7:30a.m.-9:30 a.m. | Help in kitchen | 2 |
_______ | 11a.m.-1p.m. | Help in kitchen | 2 | |
_______ | 5p.m.-7p.m. | Help in kitchen | 2 | |
_______ | 8a.m.-12 | Help with Horse Show | 4 | |
_______ | 1p.m.-5p.m. | Help with Horse Show | 4 | |
_______ | 4p.m. 8p.m. | Help clean up the grounds so
WE CAN GO HOME! |
4 | |
TOTAL VOLUNTEER HOURS |
WE THANK YOU SO MUCH FOR YOUR HELP.
WITHOUT OUR PARENTS WE WOULD NOT HAVE A PROGRAM !!!!!!!!!!
Medical Care Release Form
My child, ______________________________, has the following medical condition(s) ____________________________________________________________________________________________________________________________________________. Our family doctor is _____________________________________________________________________
Phone_______________________________
Emergency Phone # ________________________________________________ |
VETERINARY CARE RELEASE
I give permission for the veterinarian on call to treat my child's horse in an emergency. I will pay or make arrangements for payment to the veterinarian before the close of camp. I understand an attempt will be made to reach me before a veterinarian is called. |
CAMPER'S CONTRACT
I promise to abide by all the camp rules and rules set by the Alaska State Fair,Inc. I understand that if I do not abide by the camp rules, my parents may be notified and I may be excluded from the remainder of camp. |
_________________________________________________________________________
|
________________________________________________________________________ Camper's Signature Date |
4-H CAMP RULES
For Campers: | For Horses and Riding: |
No climbing on rafters or doors
No smoking/drugs/alcohol Teens must turn in car keys Campers must be courteous No profanity No co-ed tents/camping No radios after10p.m. |
Do not tie horses to arena.
Post on stall door any vices Helmet required when riding No riding in fields/across walkway Walk horse only when outside arenas No haynets in stall overnight Red ribbon in tail for kickers Red ribbon in forelock for biters No unattended horse (tied) No staking out of horse No loose horses in arenas No jumping bareback No riding in halter Tie with halter and lead only No riding double No abuse of horse No riding in stalls Must wear boots w/heel when riding Horses must be stalled from 9p.m. to 7a.m. |