Are you a Leader in the Carroll County 4-H Program?

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1 4-H TRIBUNE February 2013 Volume 6 Issue 1 Are you a Leader in the Carroll County 4-H Program? The Ambassador Program is looking for Leaders! We are looking for youth who are willing to promote the Carroll County 4-H Youth Program to Carroll County. 4-H is the premier youth development program in the United States, and we need to get that word out to others in the community. The Ambassador Program will be re-focusing and re-defining goals and activities in order to achieve that mission. When you leave the Carroll County 4-H Program, we want you to be THE leader in whatever project/activity you choose to tackle next! Seniors will be sent an Ambassador application by mail. It will also be posted on our website by mid-february and will be available in the office. The Junior Ambassador application will be sent out in the near future. If you are willing to work to achieve Carroll County 4-H becoming THE PREMIER Youth Group in Carroll County and the State, WE WANT YOU!!!! If you have any questions, please call Kathy at or kgordon1@umd.edu. Market Swine, Lamb and Goat Weigh-In and Tagging Therapeutic Riding Barn Market Swine: Friday, May 3 rd, 5-9pm Market Sheep and Market Goat: Friday, May 10 th, 5-9pm If you plan to exhibit one of the above at the county or state fair, it must have a CC ear tag and be weighed in here at Carroll County. The Animal Science Code of Ethics will be on the reverse side, please sign and date. Tags cost $1 each and checks can be made payable to CCEAC. You must turn in a completed form with the number of tags you will need by April 29 th for Swine and May 3 rd for Lambs and Goats. Anyone who does not turn in the registration form by the above deadlines may not be eligible for the fairs. In addition, several of you show 4-H in one county and FFA in another: you must register, tag, and weigh-in the appropriate animal for that county!! You may not weigh in you animals at another county and be eligible for the Carroll County 4-H/FFA Fair. Questions?? Call Castration Policy of the Maryland 4-H AnSc Program: All male steers, lambs, pigs, and goats must be neutered and healed prior to 4-H weigh-in and tagging. The only exception would be animals that have obvious signs they have been banded, however, their scrotal sac is still intact.

2 UME Volunteer Leader Training Would you like to be a University of Maryland Extension Volunteer? Are you helping out at club meetings with projects or activities? Do you have parents in your club who have expressed an interest in being a 4-H volunteer? The next UME training is scheduled for Tuesday, March 19 th at 6pm. Please call the Extension Office at to register. DUE DATE Club Planning, Secretary and Treasurer Books will be due to the Extension Office by COB on Feb. 15, Achievement Program Leaders: You will be receiving by mail the nomination form and the directions for the Achievement Program. It will also be on the website by February 1 st. The procedure will be the same as last year. Any questions, please call Kathy or Becky at Record Book Judging Training Looking for something to do on those cold winter nights?? On February 13 th, we will be having our annual Record Book Judging and Training Session. Come right after work at 5:30pm, get trained (or start judging), have dinner, and judge some more!! We will do a second training at 7pm, if you can t make the earlier time. Please call the CC Ext. Office to sign up, so there is plenty of food for dinner! Hope to see you on the 13 th! Oh Look It s Snowing! It may be snowing, but that means things at the Extension Office may be closing! If there is no school or there is early dismissal in Carroll County due to inclement weather, all 4-H events are to be cancelled. In addition, if the snow emergency plan is in effect by 6:00pm, all 4-H events are to be cancelled for that evening. If you have any questions, call the Extension Office at Demonstration Day! This event will be held on Saturday, February 23, 2013, beginning at 9am. If a special request is needed, please call Mary Rasche, Superintendent, at no later than February 8 th. If you have any other questions, call the Extension Office or Mary Rasche. Public Speaking Day! It s time to think about Public Speaking! This is a great way to get your communication piece finished for your project records. Public Speaking Day is scheduled for March 16 th beginning at 9am. Rules and Regs were included in December s Tribune and can be found on the Fair website along with the Registration Form!! Deadline to register is February 24th. Procedure will be the same as last year, no pre-scheduled times, but you must be present by 11am to deliver your speech. Any questions, contact the Extension Office or Superintendent, Rita Becker at

3 OFFICE MAILBOX Just a reminder that we have a drop box located by the entrance to the office. If you are here after hours or are trying to meet a deadline but the office is closed, please use the drop box. We cannot be responsible for items left under the door. Thank you for your cooperation!! Camp Dates We have selected the dates for the 2013 camp. Mark your calendars! Applications are included in this issue of the Tribune. They will also be available in the office or on our website. Younger week June 24-27, 2013 (Mon-Thurs) Hashawha Environmental Ctr. Ages 8-11 (age based on Jan. 1, 2013) Older week July 15-19, 2013 (Mon- Fri), Hashawha Environmental Ctr. Ages (age based on Jan. 1, 2013) Please be aware that in order to go to camp this year you must have a zero balance from 2012 camp. If you are unsure if you still owe money, please call the office. All camper applications and scholarship forms will be due by April 12 th. If you do not fill out the scholarship form, you will not be considered for a scholarship. All forms and money will be due into the office by May 17 th. If ALL forms and money are not in by this time, you may forfeit your spot at camp. Camp fills on a first come, first served basis, so get your application in soon! Clover Day Camp Mark your calendars, Clover Day Camp will be held at the CC Extension Office July 8 11, Keep an eye out in upcoming Tribunes for more information. Fashion Revue Meeting The Fashion Revue Committee will be holding a meeting on Wednesday, March 6 th at 7pm at the Extension Office. All youth interested in planning this year s events are welcome to attend. Fashion Funfest will be held on Saturday, April 20 th. Look for the registration information in March s Tribune. Fashion Revue will take place on Saturday, June 1 st. Time to start planning on what you ll model!! 4-H Legislative Day in Annapolis 4-H Legislative Day is scheduled for President s Day, February 18, Call the 4-H Office if you have an interest in attending. The Retreat at Beckleysville is collecting old discarded model horses to use for an amazing fundraiser to benefit therapeutic riding at The Retreat. Please bring your extra model horses to the marked box at the Extension office to donate for a great cause. We ll take all comers, up to 24. More details on this fundraiser are at the end of this Tribune. Dairy Bowl Yes, it will soon be time to start those Dairy Bowl practices again!!! Here are the dates: All start at 7:30 at the Extension Office. Feb. 7, 21, 28 March 7, 14, 21, 28 April 4, 11 Contact Gary Brauning at for more information.

4 HORSE JUDGERS! HORSE BOWLERS! The State 4-H Office has decided to continue to host all 3 contest on the same weekend, April 20-21, 2013 at the University of Maryland s College Park Campus. Following are the list of dates for judging/bowl practices. Feb 6 Feb 13 Feb 20 Feb 27 March 6 March 13 March 20 March 27 April 3 April 10 Bowl Judging Bowl Judging Bowl Judging Bowl Judging Bowl Judging Skillathon! Do you have an interest in learning more about livestock? Dates have been set for Skillathon Practices! All practices will start at 7pm. There will be a couple of practices done in coordination with other counties. Please check the schedule below. The State Contest will be held on March 2 nd. Thurs. Feb 7 Thurs. Feb 14 Wed. Feb. 20 Thurs. Feb 28 CC Ext Office CC Ext Office CC Ext Office CC Ext Office Horse and Pony Cards All Horse and Pony ID cards and Performance Leases are due to the Extension Office by May 1, Passing of Horsemanship Levels 1 and 2 are required to show at County and State Fairs. Info on the Horsemanship Standards can be found at: carroll.umd.edu under 4-H, Member Resources. Beef Field Day Mark your calendars for Saturday, April 6, 2013 for the Beef Field Day. Animal Science Webinars There will be a series of animal science webinars being offered by the state 4-H office. Everyone is welcomed to participate in these webinars and you can register at the following website to participate Topics include: Feb 26-Preparing for Competitive Events Mar 25-Animal Science Project Records April 30-Risk Management May 28-Sportsmanship Quality Assurance If you are a new member or have moved to a new age group (Junior to Intermediate, Intermediate to Senior) you will be required to take the Online Quality Assurance Program this year. The program is online and required for ALL 4-H Members showing beef, dairy, hog, sheep, goats, horses/ponies, poultry, rabbits, and alpacas/llamas. The website to complete this program is You must register and complete this program if you are going to show. The website will open March 1 st and is available 24 hours a day. If you receive an error message while trying to complete it please let Kathy know. The CC 4-H Extension Office has a Computer Lab which is available to all. Contact Kathy if you should need to use the computer lab. It can be used for both the QA training and for CC 4- H/FFA Fair Entries starting in May.

5 Dairy Lease/Own The 4-H AnSc committee is doing a 2- year trial, where Dairy Steer owners may lease a Dairy Heifer. If you have any questions about this policy, please contact Kathy at All leases are due to the 4-H Office by May 1, Swine Workshop The Swine Workshop will be held Sunday, April 7 th from 2-4pm at the Extension Office. Please RSVP to the Extension Office at by April 3 rd. Plan on attending if you are a novice or junior exhibitor. If you have any questions, please call Vicki Wagner, Swine Superintendent, at or at morningchoicefarm@verzion.net If you are new to Swine exhibiting, please let Vicki Wagner know by ing her at morningchoicefarm@verzi on.net and she will add your to her address book of exhibitors so you receive important information and updates. Interested in Oxen The proprietors of the Hoff Barn at the CC Farm Museum are planning on adding Oxen to this wonderful venture for the public to view and admire. A gentleman has volunteered to raise the oxen but is looking for help in the process, some feeding, some taming, etc. If you have some interest in working with this type of animal or would just like to be involved, contact Mr. Bob Shirley at rshirley@umd.edu for more information. In addition, this site at Cornell University can give you more information about working with oxen, check it out!! /working-oxen-on-the-farm-today/ The Maryland-Delaware Sheep Shearing School is holding a class for beginning shearers. More information and the registration form is located on our website. LIVE.LAUGH.FARM. A wonderful opportunity to use your creativity in developing a video telling us what LIVE.LAUGH.FARM. means to your group. If you are interested in more information, see the attached flyer at the end of the Tribune. Deadline to enter is March 22, Safety on the Job Poster Contest Contest is open to all youth between the ages of This contest promotes awareness about the importance of workplace safety. For more information on rules and how to enter visit Entry deadline is February 14, To all the Carroll County youth who were recognized at the MD 4-H Awards Gala on January 20 th!! Members of our judging teams, Diamond Clovers, scholarship winners and National 4-H trip attendees were announced! Congratulations to our volunteers that were recognized at the MD 4-H Awards Gala!! The John and Ramona Rawlings Family was honored with 4-H Family of the Year, Ed Stevens received Volunteer of the Year for under 10 years of service and Dave Franc received his Honorary 4-H Member Award. Donna Myers was recognized with the 4-H Volunteer Award for over 10 years of service.

6 CC 4-H HotShots Club Carroll County 4-H Hotshots will be holding a Basket, Vera Bradley, Thirty- One and Gift Card Bingo on March 23, 2013 in Burns Hall at the CC Ag. Center. The doors open at 5:30pm and Bingo starts at 7:00pm. Food and drinks will be available, along with raffles and door prizes. For more information or advance ticket sales contact Wanda Rawlings at or mwrawl@verizon.net The Rabbit & Cavy Breeders 4-H Club invites Carroll County 4-H members that are interested in entering a Rabbit Meat Pen at the 2013 fair to attend our meeting. The Rabbit & Cavy Breeders 4-H Club will hold its meeting on Wednesday night, February 13 th in the Blizzard Building at the Ag Ctr. At 7:30 pm the club has scheduled guest speakers Mr. and Mrs. Godfrey, New Zealand rabbit breeders and open exhibitors, discussing Raising a Champion Rabbit Meat Pen. Because the Godfrey s are traveling from PA, if weather is questionable, please call/text Kathy Harden at CC 4-H All Star Meetings All meetings are at 7:30pm and held at the Extension Office. Upcoming Dates: March 5, 2013 June 18, 2013 September 17, 2013 Fair Board Meetings Don t forget that everyone is welcome to participate in Fair Board meetings held at the Extension Office. The next meeting date is February 27th at 7:30pm Too Many Ribbons? Don t throw them away? Bring them to the Extension Office or a Fair Board Meeting. The Fair will recycle them for next year! So don t throw them out, let s recycle everything including ribbons! MARK YOUR CALENDARS!!! 2013 CARROLL COUNTY 4-H/FFA FAIR WILL BE HELD JULY 27 TH AUGUST 2 ND ONLINE FAIR ENTRY SYSTEM WILL BE OPEN MAY 1 JUNE 10, 2013 NEW SWINE VIDEO CONTEST The Swine department will be holding a video contest. The video contest is intended to help enhance the learning and knowledge one gains throughout the swine project and to then convey that gained knowledge in a visual communication tool for the public. For questions, please contact Vicki Wagner at

7 Poultry Exhibitors Meeting for 2013 Fair There will be a mandatory poultry meeting held February 11, 2013 and February 26, 2013 at the 4-H Extension Office starting at 7pm. Both meetings will contain the same information, so you need to attend only one. Some topics to be discussed: health requirements for show, what breed do I have, expectations when I exhibit. You will need to attend one of the meetings in order to exhibit poultry at the 2013 fair; even if you are not sure, you should attend. FAIR PHOTOS Photo orders from the 2012 CC 4-H/FFA Fair are available for pickup in the Extension Office. We have pictures for: Stacey Bassler Samuel Blank Sally Clas Jeanne Cooney Shannon Dell Lisa Goretsas Rebecca Lippy Mary Ann Miller Nicole Patterson Donna Ruby Nona Schwartzbeck Amy Stevens If you missed ordering the first time, you can still place an order for an additional fee. Ag Day at the Mall This year the CC 4-H/FFA Fair will be hosting Ag Day at the Town Mall on Saturday, March 16 th. Great opportunity to recruit new youth to your clubs and showcase your clubs accomplishments! This will take the place of Fair Day at the Mall normally held in July. If your club is interested in participating in the day, contact Katie Weishaar, or katieweki@yahoo. Tractor Safety & Certification Program Participation in the Tractor Safety Program is required if you wish to enter the tractor contest at the county fair! Monday, February 4, 2013 Extension Office Monday, February 11 Bob s Welding and Equipment Monday, February 18 Finch Services Monday, February 25 Wertz Farm & Power Equipment Monday, March 4 Lippy Brothers Inc. Monday, March 11 Extension Office Monday, March 18 Snow Date, Extension Office More dates to follow. All sessions begin at 7pm; Extension Snow Policy will be in effect. Please RSVP to Bryan Harris at or oliver2255@comcast.net if you plan to attend. ******************************** Tractor Safety Training Weekend Can t make it to Carroll County s Tractor Safety Training, don t worry there s another opportunity for you. A training weekend is planned March 15-17, 2013 at the Queen Anne s County 4-H Park in Centreville, MD for youth between the ages of The weekend training cost is $30, and provides 24 hours of training; a driving and written exam is included, along with visits to local Tractor Dealers. If you are interested in attending, a registration form can be found at For more information contact Kathy at

8 Carroll County 4-H Dog Training Registration Registration for Carroll County 4-H Dog Training Classes will be on Tuesday, April 9 th from 6:30pm-8pm at the Carroll County Extension Office. Youth hoping to participate will need to call Robin Korotki at (leave message, please). Youth and parents need to come at 6:30pm to register and attend an initial program session. DO NOT BRING YOUR DOG. YOU MUST BRING A COPY OF YOUR DOGS RABIES CERTIFICATE AND COUNTY DOG LICENSE/TAG to be left on file with the trainers. No dog without a valid rabies certificate or county dog license will be allowed to attend training classes. If the rabies expires during training, you must bring the new certificate with you at the next possible training date. If you think you might be substituting a dog within the training classes, bring those certificates and license/tags with you also. Please take the time to register as many dogs as you think you may need through the training sessions. Additionally, on Tuesday, April 23 rd, there will be an initial DOG EVALUATION SESSION. The dog (or dogs) the youth is registering to train with will need to come and be evaluated as to their suitability. If a dog is deemed to be not suitable for this kind of training, it will be dismissed. A youth may substitute another dog for training, but it must be there on the 23 rd for the evaluation. The minimum age for dogs participating in this program is at least 4 months of age by April 23 rd date. In addition, there will be no classes for Clover age youth. Location for Evaluation Session will be determined, look in future Tribunes for more information. Both meetings are mandatory!!! Fees for this year are: $5.00 for current CC Dog Club members $20.00 for all other CC 4-H members Carroll County 4-H Dog Training Classes are open to Carroll County 4-H members ages If you have questions, please call Kathy, DON T FORGET THAT INCOMPLETE UNIT COMPLETIONS NEED TO BE RESUBMITTED TO THE EXTENSION OFFICE BY FEBRUARY 11, Kathy Gordon Jim Serfass Becky Ridgeway Extension Educator Extension Educator Extension Educator 4-H Youth Development 4-H Youth Development 4-H Youth Development kgordon1@umd.edu jserfass@umd.edu bridgewa@umd.edu

9 The Carroll County 4-H Website. Find The Tribune online, plus other forms and information for youth and leaders. The Maryland State 4-H Youth Development Website. News & information from all over the state, plus forms and information for youth and leaders. Carroll County 4-H Youth Development Phone: University of Maryland Extension Toll-Free: Agriculture Center Fax: Westminster, MD University of Maryland Extension programs are open to all citizens and will not discriminate against anyone because of race, age, sex, color, sexual orientation, physical or mental disability, religion, ancestry, or national origin, marital status, genetic information, or political affiliation, or gender identity and expression. If you have a disability that requires special assistance for your participation in a program, please contact the Carroll County Extension Office at , fax: , two (2) weeks prior to the program. The information given herein is supplied with the understanding that no discrimination is intended and no endorsement by University of Maryland Extension is implied. Upcoming Dates to Remember Feb 1 Junior Record Books/Diamond Clovers due to the CC Ext. Office Feb 9 Out of State Trip Interviews, CC Ext Office, 9-3pm Feb 15 Club Planning, Secretary & Treasurer Books Due, CC Ext Office Feb 18 CC Ext Office Closed for President s Day Feb 23 Demonstration Contest, CC Ext Office, 9am Feb 24 Deadline for Public Speaking Online Registration, 11:59pm Mar 2 MD State Skillathon Contest, Washington County Mar 16 Public Speaking Contest, CC Ext Office, 9am Mar 19 UME Volunteer Leader Training, CC Ext Office, 6pm Apr 6 Beef Field Day, CC Ag. Center Apr 7 Swine Workshop, CC Ext Office, 2-4pm Apr 13 Food Preservation Workshop, CC Ext Office, 9am 4pm Apr 19 Carroll County 4-H Achievement Program, CC Ag Center Apr 20 Fashion Funfest, CC Ext. Office, 9am 2pm Apr Horse Judging/Bowl/Hippology Contest, UMD, College Park Apr 29 Swine paperwork due to CC Ext. Office May 1 Fair Online entry system is open Horse & Pony ID Cards/Performance Leases due to CC Ext Office May 3 Swine Weigh-In and Tagging Sheep/Goat paperwork due to CC Ext Office May 10 Sheep/Goat Weigh-In and Tagging May 18 Wills Fair, Howard County Fairgrounds June 1 Fashion Revue, CC Ext. Office June 10 Fair On-line entry system closes, 11:59pm June CC 4-H Camp, Hashawha July 8-11 Clover Day Camp, CC Ext Office July CC 4-H Camp, Hashawha July 27-Aug 2 CC 4-H/FFA Fair

10 LIVE. LAUGH. FARM. VIDEO CONTEST! Calling all youth ag groups! Could your 4-H club, FFA chapter or other youth agriculture group use some extra cash? Are you creative and excited about agriculture? If so, enter our video contest and tell us what Live. Laugh. Farm. means to your group. All videos must be submitted on our Facebook page by March 22, Then, we ll open up the polls for voting to determine who will win the $500 grand prize (2nd place-$250 and 3rd place-$100)! For complete rules and eligibility terms, visit our Facebook page. Live. Laugh. Farm Take 1 Lending support to rural America mafc.com

11 Don t miss out! Be sure to come to the Retreat Round-Up Horses of Many Colors for a Cause Sunday February 17, :00-5:00pm Carroll County Agriculture Center Enter NOW! Decorate and enter your model horse in the most unique horse show in town! Celebrity Judges Prizes Flea Market of tack and equipment Silent Auction Food Entertainment All proceeds benefit The Retreat at Beckleysville a fund of the Community Foundation of Carroll County For more information, retreatroundup@comcast.net Find us on the web at or look for The Retreat Round-Up on Facebook Special Preview Saturday Feb 9-16 at the Carroll County Arts Council!

12 DUE: April 12, 2013 ONE APPLICATION PER CAMPER Camp Castaway CARROLL COUNTY 4-H RESIDENTIAL CAMP APPLICATION FORM Youth ages *** PLEASE MARK YOUR CALENDAR a Camper Orientation for all first- time Carroll County campers and parents will be held June 5 at 7: 00 p. m. at the Extension Office. *** UME is collecting information in order to enroll you in the UME sponsored Carroll Co. 4-H Residential Camp. If you do not provide the requested information, your child may not be able to attend nor receive further information. The information you provide may be shared with UME and short-term appointed volunteers or instructors. Information provided to UME may also be shared among offices within the University and within the University System of Maryland and outside entities as necessary or appropriate in the conduct of legitimate University business and consistent with applicable law. Because the University is a State educational institution, such information may also be subject to disclosure under the MD Access to Public Records Act. Individuals may inspect and/or correct their personal information as provided by the Public Records Act and/or other applicable law or University policy. Name: Address: Sex of Camper: RACE DATA This information is requested on an optional basis. Your cooperation in providing it is appreciated. Please check the box that indicates your race which will be used only for reporting purposes. American Indian Black Oriental White Hispanic Birth Date: Parent/Guardian Name: Parent/Guardian Parent/Guardian Phone No.(Home): Parent/Guardian Phone No. (Work): Residence (choose one): A on a farm; B Rural area/town of 10,000 or less; C Town/city of 10,000-50,000; D Suburb of city over 50,000; E City over 50,000 Is Camper a Carroll Co. 4-H member? Grade completed at end of current school year: Name of one or two friends Camper would like to share a cabin with: Outdoor Adventure Camping: This will be an alternative to typical camp programming (will sleep in a tent) for one (1) evening. If your child is interested in participating, please check this box. Additional information and program details will be sent to you following registration. When: July 15 19, 2013 (Monday Friday) Where: Camp Hashawha, Carroll Co. Environmental Appreciation Center, 300 John Owings Rd., Westminster, MD Who: Campers are youth ages 10 thru 14 as of January 1, 2013 Cost And Deadlines: Carroll Co. 4-H Members - $245 [paid in full by May 17] Non CC 4-H Members - $260 [paid in full by May 17] Asst. Directors & Small Group Leaders - $170 [paid in full by May 17] Cabin, Recreation & Craft Leaders - $170 [paid in full by May 17] Leaders in Training - $180 [paid in full by May 17] Refunds: NO REFUNDS will be made after May 20, 2013 Scholarships: Partial scholarships are available for campers in need of financial assistance. Call the Extension Office (410/ ) to request a scholarship application. Scholarship Applications will only be accepted until April 1 2. Military families may be eligible for funds to cover part or all of the camp registration fee. Contact the Carroll County Extension Office for details. YOU MUST SEND IN $ DEPOSIT FEE TO HOLD YOUR CHILD S SPOT EVEN IF YOU REQUEST A SCHOLARSHIP OR MILITARY FUNDS. Theme: Group names for campers will relate to our 2013 camp theme. Hands-on educational programs and activities will be related to natural resources and the environment.

13 *** PLEASE MARK YOUR CALENDAR a Camper Orientation for all first- time Carroll County campers and parents will be held June 5 at 7: 00 p. m. at the Extension Office. *** If you have a disability that requires special assistance for your participation in the Carroll County 4-H Residential Camp, July 15-19, 2013, please contact the Carroll County Extension Office at or by May 20, In order to better accommodate your child s needs, please list any medical concerns, disabilities, or special needs of camper. 44Please list any needed dietary accommodations, including vegetarianism. REGISTRATION AND PAYMENT OF FEES CARROLL CO. 4-H MEMBER Enclosed is my Camp Registration Fee ($245) PAID IN FULL prior to 5/17 NON CARROLL CO. 4-H MEMBER Enclosed is my Camp Registration Fee ($260) PAID IN FULL prior to 5/17 ASST. DIRECTORS, CABIN LEADERS & SMALL GROUP LEADERS Enclosed is my Camp Registration Fee ($170) PAID IN FULL prior to 5/17 RECREATION & CRAFT LEADERS - Enclosed is my Camp Registration Fee ($170) PAID IN FULL prior to 5/17 LEADERS IN TRAINING Enclosed is my Camp Registration Fee ($180) PAID IN FULL prior to 5/17 Enclosed is my $50 non-refundable deposit fee to hold my spot in Camp. I will pay the balance by the payment deadline May 17, YOU MUST SEND IN $50.00 DEPOSIT FEE TO HOLD YOUR CHILD S SPOT EVEN IF YOU REQUEST A SCHOLARSHIP OR MILITARY FUNDS. $ Total amount enclosed. MAKE CHECKS PAYABLE TO CCEAC and mail to: Carroll County Extension (4-H) Office, 700 Agriculture Center, Westminster, MD $ Balance due by May 17, 2013 (IF ALL FORMS AND MONEY ARE NOT IN BY THIS DATE, YOU MAY FORFEIT YOUR SPOT AT CAMP). Health statements, details on arrival time, what to bring, etc., will be mailed after April 19, RELEASE: I, the undersigned, in consideration of my child s participation in Carroll County 4-H Residential Camp being conducted from July 15-19, 2013 (for staff beginning on July 14), do hereby release, discharge, and forever hold harmless, University of Maryland Extension, all its employees, volunteers, and supporters thereof in connection with the aforementioned program, from any and all claims, demands, damages, actions, liability, or suits at law or in equity, for personal injury, whether physical or mental, property damage, medical, dental or hospital expenses or any other expenses of whatever kind, including death, which I may have had, now have, or may hereafter have, in any manner connected with, arising from or growing out of my participation in said program. I, the undersigned, acknowledge that I sign this Release knowingly and intelligently and with full and complete knowledge of the purpose of said program and without any form of duress and/or intimidation whatsoever on the part of the University of Maryland Extension program. Parent/Guardian Signature Date: I give permission to the College of Agriculture and Natural Resources, University of MD, to use and publish my photograph for educational and promotional purposes without compensation. Youth Signature: Date: Parent/Guardian Signature Date: University of Maryland Extension programs are open to all citizens and will not discriminate against anyone because of race, age, sex, color, sexual orientation, physical or mental disability, religion, ancestry, or national origin, marital status, genetic information, or political affiliation, or gender identity and expression.

14 DUE: April 12, 2013 ONE APPLICATION PER CAMPER Camp Carnival CARROLL COUNTY 4-H RESIDENTIAL CAMP APPLICATION FORM Youth ages 8 11 *** PLEASE MARK YOUR CALENDAR a Camper Orientation for all first- time Carroll County campers and parents will be held June 5 at 7: 00 p. m. at the Extension Office. *** UME is collecting information in order to enroll you in the UME sponsored Carroll Co. 4-H Residential Camp. If you do not provide the requested information, your child may not be able to attend nor receive further information. The information you provide may be shared with UME and short-term appointed volunteers or instructors. Information provided to UME may also be shared among offices within the University and within the University System of Maryland and outside entities as necessary or appropriate in the conduct of legitimate University business and consistent with applicable law. Because the University is a State educational institution, such information may also be subject to disclosure under the MD Access to Public Records Act. Individuals may inspect and/or correct their personal information as provided by the Public Records Act and/or other applicable law or University policy. Name: Address: Sex of Camper: Birth Date: Parent/Guardian Name: Parent/Guardian Parent/Guardian Phone No.(Home): Parent/Guardian Phone No. (Work): RACE DATA This information is requested on an optional basis. Your cooperation in providing it is appreciated. Please check the box that indicates your race which will be used only for reporting purposes. American Indian Black Oriental White Hispanic Residence (choose one): A on a farm; B Rural area/town of 10,000 or less; C Town/city of 10,000-50,000; D Suburb of city over 50,000; E City over 50,000 Is Camper a Carroll Co. 4-H member? Grade completed at end of current school year: Name of one or two friends Camper would like to share a cabin with: When: June 24-27, 2013 (Monday Thursday) Where: Camp Hashawha, Carroll Co. Environmental Appreciation Center, 300 John Owings Rd., Westminster, MD Who: Campers are youth ages 8 thru 11 as of January 1, 2013 Cost And Deadlines: Carroll Co. 4-H Members - $205 [paid in full by May 17] Non CC 4-H Members - $220 [paid in full by May 17] Asst. Directors & Small Group Leaders - $145 [paid in full by May 17] Cabin, Recreation & Craft Leaders - $145 [paid in full by May 17] Leaders in Training - $155 [paid in full by May 17] Refunds: NO REFUNDS will be made after May 20, 2013 Scholarships: Partial scholarships are available for campers in need of financial assistance. Call the Extension Office (410/ ) to request a scholarship application. Scholarship Applications will only be accepted until April 1 2. Military families may be eligible for funds to cover part or all of the camp registration fee. Contact the Carroll County Extension Office for details. YOU MUST SEND IN $ DEPOSIT FEE TO HOLD YOUR CHILD S SPOT EVEN IF YOU REQUEST A SCHOLARSHIP OR MILITARY FUNDS. Theme: Group names for campers will relate to our 2013 camp theme. Hands-on educational programs and activities will be related to natural resources and the environment.

15 *** PLEASE MARK YOUR CALENDAR a Camper Orientation for all first- time Carroll County campers and parents will be held June 5 at 7: 00 p. m. at the Extension Office. *** If you have a disability that requires special assistance for your participation in the Carroll County 4-H Residential Camp, June 24-27, 2013, please contact the Carroll County Extension Office at or by May 20, In order to better accommodate your child s needs, please list any medical concerns, disabilities, or special needs of camper. 44Please list any needed dietary accommodations, including vegetarianism. REGISTRATION AND PAYMENT OF FEES CARROLL CO. 4-H MEMBER Enclosed is my Camp Registration Fee ($205) PAID IN FULL prior to 5/17 NON CARROLL CO. 4-H MEMBER Enclosed is my Camp Registration Fee ($220) PAID IN FULL prior to 5/17 ASST. DIRECTORS, CABIN LEADERS & SMALL GROUP LEADERS Enclosed is my Camp Registration Fee ($145) PAID IN FULL prior to 5/17 RECREATION & CRAFT LEADERS - Enclosed is my Camp Registration Fee ($145) PAID IN FULL prior to 5/17 LEADERS IN TRAINING Enclosed is my Camp Registration Fee ($155) PAID IN FULL prior to 5/17 Enclosed is my $50 non-refundable deposit fee to hold my spot in Camp. I will pay the balance by the payment deadline May 17, YOU MUST SEND IN $ DEPOSIT FEE TO HOLD YOUR CHILD S SPOT EVEN IF YOU REQUEST A SCHOLARSHIP OR MILITARY FUNDS. $ Total amount enclosed. MAKE CHECKS PAYABLE TO CCEAC and mail to: Carroll County Extension (4-H) Office, 700 Agriculture Center, Westminster, MD $ Balance due by May 17, 2013 (IF ALL FORMS AND MONEY ARE NOT IN BY THIS DATE, YOU MAY FORFEIT YOUR SPOT AT CAMP). Health statements, details on arrival time, what to bring, etc., will be mailed after April 19, RELEASE: I, the undersigned, in consideration of my child s participation in Carroll County 4-H Residential Camp being conducted from June 24-27, 2013 (for staff beginning on June 23), do hereby release, discharge, and forever hold harmless, University of Maryland Extension, all its employees, volunteers, and supporters thereof in connection with the aforementioned program, from any and all claims, demands, damages, actions, liability, or suits at law or in equity, for personal injury, whether physical or mental, property damage, medical, dental or hospital expenses or any other expenses of whatever kind, including death, which I may have had, now have, or may hereafter have, in any manner connected with, arising from or growing out of my participation in said program. I, the undersigned, acknowledge that I sign this Release knowingly and intelligently and with full and complete knowledge of the purpose of said program and without any form of duress and/or intimidation whatsoever on the part of the University of Maryland Extension program. Parent/Guardian Signature Date: I give permission to the College of Agriculture and Natural Resources, University of MD, to use and publish my photograph for educational and promotional purposes without compensation. Youth Signature: Date: Parent/Guardian Signature Date: University of Maryland Extension programs are open to all citizens and will not discriminate against anyone because of race, age, sex, color, sexual orientation, physical or mental disability, religion, ancestry, or national origin, marital status, genetic information, or political affiliation, or gender identity and expression.

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