REGISTRATION
1999 Sr. 4-H Horse Camp

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[ ]


SR. CAMP HORSE SHOW FORM

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 { }


A DEPOSIT OF $20 WILL HOLD A PLACE FOR YOU AT CAMP or pay the entire fee of $90.  $10 will be refunded after stall has been cleaned at the end of camp.

Please enclose the following:

  • Current copy of E.I.A. (within 6 months)
  • Proper fees
  • Parent volunteer form
  • Medical release form
  • $16 if you have a 2nd horse at camp

    •  

     

    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

    Please check the job or jobs you would like to do at camp and remember to mark the day and time on your calendar.

    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_______________________________
    In case of emergency, I give consent for my child to be treated by a qualified, available physician.  I understand that my camp fee includes an accident insurance policy (it has a limit), and I agree to assume financial responsibility for any charges not covered by 4-H insurance.  I also agree to hold the volunteers, 4-H, Alaska Cooperative Extension and the Alaska State Fair, Inc. free from liability during horse camp.
    _____________________________________________________________________________________________________________
    Parent's Signature                                                                      Date

    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.

    _________________________________________________________________________
    Parent's Signature                                      Date
    ________________________________________________________________________
    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.
    THANK YOU AND HAPPY CAMPIING!!!!!!!!!!!!!!!!!!