2018 4-H Horse Camp Registration Packet
2018 4-H Horse Camp Registration Packet June 8-10th, 2018 Otsego County Fairgrounds *****SUBMIT THIS FORM TO THE 4-H OFFICE**** Submit by May 25, 2018:
4-H Office 123 Lake Street Cooperstown, NY 13325 Re: Horse Camp Registration
4-H’er Name:
Age as of January 1st:
Address:
Phone #:
City:
State:
Zip:
E-mail address: 4-H Club Name: Riding Level (check one) Lead Line (4-H’er or Cloverbud) Walk/Trot (4-H’er or Cloverbud) Walk/Trot Green Walk/Trot/Canter (No Leads to Count) Pony Junior Senior
Seats Ridden (check all that apply) Western Hunt Seat on the flat Gymkhana Hunt Seat over fences Trail Side Saddle Other:
Name of Project Horse 4-H’er is Bringing to Horse Camp: ***Bring proof of current Negative EIA (Coggins) and current Rabies vaccination certificate to Camp*** 4-H Horse Camper Tee Shirt Size (adult sizes, circle one)
XS
S
M
L
XL
SEND TO 4-H OFFICE WITH YOUR REGISTRATION Camp Registration Fee -Includes Horse Camp events, Fun Show registration, tee shirt, breakfasts & lunches -Make payable to CCE (Cornell Cooperative Extension) -Registrations received after May 25th are subject to a $50 Late Fee
XXL
$35
BRING WITH YOU TO HORSE CAMP Camper/Tent Fee $10 per site $ -Cash or make payable to Otsego County Fair Association Friday Night Pizza Party $5 x $ -$5 per person Additional 4-H Horse Camp Tee Shirts (optional) $ -$5 per shirt – list # of each size requested (adult sizes) $5 x XS S M L XL XXL Stall Deposit $ -$10 per stall, refundable at Camper Check Out $10 x Potluck Dinner Dish to Pass (Saturday Night) Yes, please contact me about bringing a dish -To feed approximately 35 people (optional) No, thank you, please do not contact me -All are welcome to join the potluck dinner! Please contact the 4-H Office with any questions: (607) 547-2536 ext. 225
2018 4-H Horse Camp Registration Packet
*****SUBMIT THIS FORM TO THE 4-H OFFICE**** 4-H Horse Camp Chaperone Agreement My son/daughter will be sleeping overnight at 4-H Horse Camp in a (check one):
tent camper horse trailer
I understand that my son/daughter will not be allowed on the Otsego County Fairgrounds unless properly chaperoned by an enrolled 4-H leader or a parent/guardian. I understand that Cornell Cooperative Extension Schoharie and Otsego Counties and all 4-H volunteer leaders involved in the implementation of 4-H Horse Camp will not be responsible for chaperoning 4-H members, including my son/daughter.
Parent/Guardian Signature
Date
Name of Chaperone
Phone Number
Chaperone Signature (if different from Parent/Guardian)
Date
Helmet Safety Agreement I understand that I am responsible for wearing an ASTM/SEI approved riding helmet at all times when I am working with or mounted on my horse during a 4-H Horse Event. I understand that I am the only one who can wear my riding helmet and that I cannot share my helmet with others and that sharing of helmets is not allowed. I understand that the riding and showing of horses can be dangerous and I accept responsibility for any injury or harm incurred to myself, my horse or others.
4-H’er Signature
Date
Parent/Guardian Signature
Date
Note: Only one Helmet Safety Agreement needs to be on file and binding for the current 4-H year. A copy will be kept on file and the 4-H’er will not need to complete another Helmet Safety Agreement within the same 4-H year but a new Helmet Safety Agreement is needed each year.
Please contact the 4-H Office with any questions: (607) 547-2536 ext. 225
*****SUBMIT THIS FORM TO THE 4-H OFFICE****
4-H HORSE CAMP SCHEDULE Times are approximate
***Bring this form with you to Horse Camp*** Friday, June 8, 2018
5:00 PM 7:00 PM
Camp Opens for Check-In Pizza Party, Ice Breakers, Introductions
Saturday, June 9, 2018
8:00 AM 9:00-9:30 AM 9:30-12:30 PM 12:30-1:30 PM 1:30-4:30 PM 5:00 PM 7:00 PM
Camp Breakfast Showmanship 101 Riding Clinics and Sessions Lunch Break Riding Clinics and Sessions Potluck Dinner Camp Games/ Activities (weather permitting)
Sunday, June 10, 2018
8:00 AM 9:00 AM-5:00 PM 5:00 PM
Camp Breakfast Horse Camp Show Camper Check Out
Checking in to 4-H Horse Camp -After entering the fairgrounds, please stop at the Inspection Tent in front of the 4-H Horse Barn -Show copies of current Rabies and Negative EIA Test for Project Horse BEFORE UNLOADING -Get stall assignment, settle in horses, unload tack and equipment, etc. -Go to Announcer’s Stand to check into Horse Camp and receive your 4-H Horse Camp Kit -Present helmet for inspection and ensure all paperwork is signed and completed -Submit Camper/Tent, Pizza Party and Stall Deposit fees Checking Out of Horse Camp -Before leaving camp, please notify a volunteer at the Announcer’s Stand that you are leaving -You will receive a Horse Camp Certificate and can take your 4-H Horse Stall card home with you -Your horse’s stall will be inspected and must be cleaned to have stall deposit refunded 4-H Horse Camp Rules -All 4-H Horse Science Issue Committee members and 4-H Horse Program Leaders have the authority to enforce 4-H Horse Camp Rules -All participants MUST complete and sign the Acknowledgement of Risk form and registration packet -All riders must enroll in 4-H Horse Camp at their evaluated riding level on their 4-H Project Horse -There will be no riding evaluations offered at 4-H Horse Camp -Showmanship 101 & Showmanship Class at the Horse Camp Show are required (Sr/Jr/Pony/WTC/WT) -Horses are to be walked outside of the rings, NO trotting or cantering on the track or the infield -Riders must dismount prior to entering the 4-H Horse Barn -The 4-H Horse Barn aisles, exits and entryways must be kept clear at all times -Horses are not to be left unattended tied or tacked up in their stalls -Horses are to be ridden in the rings or designated areas and can only be ridden during daylight hours -Riders, including adults, must wear an ASTM/SEI approved helmet and appropriate footwear -Cloverbuds must have their chaperones or parent/guardian or 4-H leaders with them at all times -Stallions and dogs are prohibited, no exceptions. -Violators will be suspended from 4-H Horse Camp without refund and may be deemed ineligible from future events, including exhibiting at the County Fair
Please contact the 4-H Office with any questions: (607) 547-2536 ext. 225
2018 4-H Horse Camp Registration Packet 4-H Horse Camp Checklist ***Bring this form with you to Horse Camp*** Send to the 4-H Office BEFORE May 25, 2018: Camp Registration Packet (4-H’er Registration form, signed Chaperone, Helmet & Acknowledgement of Risk agreements) Completed Project Horse Certificate(s) Copy of current Negative EIA (Coggins) and current Rabies Vaccination Certificate (if not submitted with registration packet, will also be asked to show them at Horse Camp Check-In) $35 4-H Horse Camp Registration Fee (made payable to CCE)
Bring With You to 4-H Horse Camp June 8-10, 2018: Camping Sleeping Bag Pillow and blankets Cot/Air Mattress Barn Clothes/Boots Rain Gear/Boots Wash Cloths/Towels* Toiletries Sunscreen/Bug Spray Garbage bags Snacks Flashlight
Horse Halter, lead rope Shavings/Straw Water Bucket Feed Bucket Grain and Hay Treats, carrots Grooming Kit Fly Spray Shampoo, sponge Wheelbarrow/tub Pitchfork
Tack Saddle Saddle Pad(s) Cinch or girth Bridle, bit, reins Breast collar (optional) Showmanship halter/lead Show Outfit Riding Helmet Riding Boots Gloves (optional)
Miscellaneous 4-H Riding Level Card Note pad and pen Coggins Certificate Rabies Certificate $5/person for Pizza Party $10 for Stall Deposit Dish to Pass (Sunday) $10 camper/tent fee
**Please note** Restrooms will be available at Horse Camp, however given that the event falls well before the County Fair, there may or not be hot water available. Meals at Horse Camp -Breakfast and lunch are provided to 4-H Campers free of charge -Breakfast and lunch are available to camp guests for a donation -All are welcome to bring their own food and meals to camp, including grills -All are invited to join the Friday Night Pizza Party for $5 per person donation -All are welcome to join the Saturday Night Potluck dinner free of charge -Please indicate on the registration form if you’d like to bring a dish to pass (refrigeration available) -If you indicate yes, we will contact you before Horse Camp to coordinate dishes for the potluck dinner -Bottled water will be available throughout the weekend for a small donation -All food, beverage, and shirt donations go directly to covering the costs to operate 4-H Horse Camp
Please contact the 4-H Office with any questions: (607) 547-2536 ext. 225
2018 4-H Horse Camp Registration Packet Horse Camp Show Class List ***Bring this form with you to Horse Camp*** Registration opens at 8:00 AM Show starts at 9:00 AM Campers will register for their classes at Horse Camp
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Senior/Junior Pony Showmanship WTC Showmanship WT Showmanship Green WT Showmanship Senior/Junior/Pony Hunter Pleasure WTC Hunter Pleasure WT Hunter Pleasure Green WT Hunter Pleasure Cloverbud/Lead Line Hunter Pleasure Senior/Junior/Pony Hunter Equitation WTC Hunter Equitation WT Hunter Equitation Green WT Hunter Equitation Cloverbud/Lead Line Hunter Equitation Senior/Junior/Pony Hunter Over Fences (2’) WTC Hunter Over Fences (2’) WT – Hunter Over Cross-Rails (18”) Green WT – Hunter Over Cross-Rails (18”) Senior/Junior/Pony Western Pleasure WTC Western Pleasure WT Western Pleasure Green WT Western Pleasure Cloverbud/Lead Line Western Pleasure Senior/Junior/Pony Horsemanship WTC Horsemanship
26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48
WT Horsemanship Green WT Horsemanship Cloverbud/Lead Line Western Equitation Senior/Junior/Pony Disciplined Rail WTC Disciplined Rail WT Disciplined Rail Senior/Junior/Pony Dash WTC Dash WT Dash Green WT Dash Cloverbud/Lead Line Dash Senior/Junior/Pony Cloverleaf Barrels WTC Cloverleaf Barrels WT Cloverleaf Barrels Green WT Cloverleaf Barrels Cloverbud/Lead Line Cloverleaf Barrels Senior/Junior/Pony Pole Bending WTC Cloverleaf Pole Bending WT Cloverleaf Pole Bending Senior/Junior/Pony Trail WTC Trail WT Trail Green WT Trail
Showmanship and Trail can be shown either Western or Hunt Seat, but not both There are no entry fees, registration is included in the 4-H Horse Camp Fee Ribbons will be awarded using the Danish System Appropriate show attire is required All campers must exhibit in Showmanship, with exception to Lead Line and Cloverbuds Classes may be combined or split as deemed appropriate by the 4-H Horse Science Committee Break for lunch will take place midday Trail will be run in the warm-up ring from approximately 11 AM-3 PM Judge’s decision is final on all placings
Please contact the 4-H Office with any questions: (607) 547-2536 ext. 225
4-H Office 123 Lake Street Cooperstown, NY 13325 Re: Horse Camp Registration
4-H’er Name:
Age as of January 1st:
Address:
Phone #:
City:
State:
Zip:
E-mail address: 4-H Club Name: Riding Level (check one) Lead Line (4-H’er or Cloverbud) Walk/Trot (4-H’er or Cloverbud) Walk/Trot Green Walk/Trot/Canter (No Leads to Count) Pony Junior Senior
Seats Ridden (check all that apply) Western Hunt Seat on the flat Gymkhana Hunt Seat over fences Trail Side Saddle Other:
Name of Project Horse 4-H’er is Bringing to Horse Camp: ***Bring proof of current Negative EIA (Coggins) and current Rabies vaccination certificate to Camp*** 4-H Horse Camper Tee Shirt Size (adult sizes, circle one)
XS
S
M
L
XL
SEND TO 4-H OFFICE WITH YOUR REGISTRATION Camp Registration Fee -Includes Horse Camp events, Fun Show registration, tee shirt, breakfasts & lunches -Make payable to CCE (Cornell Cooperative Extension) -Registrations received after May 25th are subject to a $50 Late Fee
XXL
$35
BRING WITH YOU TO HORSE CAMP Camper/Tent Fee $10 per site $ -Cash or make payable to Otsego County Fair Association Friday Night Pizza Party $5 x $ -$5 per person Additional 4-H Horse Camp Tee Shirts (optional) $ -$5 per shirt – list # of each size requested (adult sizes) $5 x XS S M L XL XXL Stall Deposit $ -$10 per stall, refundable at Camper Check Out $10 x Potluck Dinner Dish to Pass (Saturday Night) Yes, please contact me about bringing a dish -To feed approximately 35 people (optional) No, thank you, please do not contact me -All are welcome to join the potluck dinner! Please contact the 4-H Office with any questions: (607) 547-2536 ext. 225
2018 4-H Horse Camp Registration Packet
*****SUBMIT THIS FORM TO THE 4-H OFFICE**** 4-H Horse Camp Chaperone Agreement My son/daughter will be sleeping overnight at 4-H Horse Camp in a (check one):
tent camper horse trailer
I understand that my son/daughter will not be allowed on the Otsego County Fairgrounds unless properly chaperoned by an enrolled 4-H leader or a parent/guardian. I understand that Cornell Cooperative Extension Schoharie and Otsego Counties and all 4-H volunteer leaders involved in the implementation of 4-H Horse Camp will not be responsible for chaperoning 4-H members, including my son/daughter.
Parent/Guardian Signature
Date
Name of Chaperone
Phone Number
Chaperone Signature (if different from Parent/Guardian)
Date
Helmet Safety Agreement I understand that I am responsible for wearing an ASTM/SEI approved riding helmet at all times when I am working with or mounted on my horse during a 4-H Horse Event. I understand that I am the only one who can wear my riding helmet and that I cannot share my helmet with others and that sharing of helmets is not allowed. I understand that the riding and showing of horses can be dangerous and I accept responsibility for any injury or harm incurred to myself, my horse or others.
4-H’er Signature
Date
Parent/Guardian Signature
Date
Note: Only one Helmet Safety Agreement needs to be on file and binding for the current 4-H year. A copy will be kept on file and the 4-H’er will not need to complete another Helmet Safety Agreement within the same 4-H year but a new Helmet Safety Agreement is needed each year.
Please contact the 4-H Office with any questions: (607) 547-2536 ext. 225
*****SUBMIT THIS FORM TO THE 4-H OFFICE****
4-H HORSE CAMP SCHEDULE Times are approximate
***Bring this form with you to Horse Camp*** Friday, June 8, 2018
5:00 PM 7:00 PM
Camp Opens for Check-In Pizza Party, Ice Breakers, Introductions
Saturday, June 9, 2018
8:00 AM 9:00-9:30 AM 9:30-12:30 PM 12:30-1:30 PM 1:30-4:30 PM 5:00 PM 7:00 PM
Camp Breakfast Showmanship 101 Riding Clinics and Sessions Lunch Break Riding Clinics and Sessions Potluck Dinner Camp Games/ Activities (weather permitting)
Sunday, June 10, 2018
8:00 AM 9:00 AM-5:00 PM 5:00 PM
Camp Breakfast Horse Camp Show Camper Check Out
Checking in to 4-H Horse Camp -After entering the fairgrounds, please stop at the Inspection Tent in front of the 4-H Horse Barn -Show copies of current Rabies and Negative EIA Test for Project Horse BEFORE UNLOADING -Get stall assignment, settle in horses, unload tack and equipment, etc. -Go to Announcer’s Stand to check into Horse Camp and receive your 4-H Horse Camp Kit -Present helmet for inspection and ensure all paperwork is signed and completed -Submit Camper/Tent, Pizza Party and Stall Deposit fees Checking Out of Horse Camp -Before leaving camp, please notify a volunteer at the Announcer’s Stand that you are leaving -You will receive a Horse Camp Certificate and can take your 4-H Horse Stall card home with you -Your horse’s stall will be inspected and must be cleaned to have stall deposit refunded 4-H Horse Camp Rules -All 4-H Horse Science Issue Committee members and 4-H Horse Program Leaders have the authority to enforce 4-H Horse Camp Rules -All participants MUST complete and sign the Acknowledgement of Risk form and registration packet -All riders must enroll in 4-H Horse Camp at their evaluated riding level on their 4-H Project Horse -There will be no riding evaluations offered at 4-H Horse Camp -Showmanship 101 & Showmanship Class at the Horse Camp Show are required (Sr/Jr/Pony/WTC/WT) -Horses are to be walked outside of the rings, NO trotting or cantering on the track or the infield -Riders must dismount prior to entering the 4-H Horse Barn -The 4-H Horse Barn aisles, exits and entryways must be kept clear at all times -Horses are not to be left unattended tied or tacked up in their stalls -Horses are to be ridden in the rings or designated areas and can only be ridden during daylight hours -Riders, including adults, must wear an ASTM/SEI approved helmet and appropriate footwear -Cloverbuds must have their chaperones or parent/guardian or 4-H leaders with them at all times -Stallions and dogs are prohibited, no exceptions. -Violators will be suspended from 4-H Horse Camp without refund and may be deemed ineligible from future events, including exhibiting at the County Fair
Please contact the 4-H Office with any questions: (607) 547-2536 ext. 225
2018 4-H Horse Camp Registration Packet 4-H Horse Camp Checklist ***Bring this form with you to Horse Camp*** Send to the 4-H Office BEFORE May 25, 2018: Camp Registration Packet (4-H’er Registration form, signed Chaperone, Helmet & Acknowledgement of Risk agreements) Completed Project Horse Certificate(s) Copy of current Negative EIA (Coggins) and current Rabies Vaccination Certificate (if not submitted with registration packet, will also be asked to show them at Horse Camp Check-In) $35 4-H Horse Camp Registration Fee (made payable to CCE)
Bring With You to 4-H Horse Camp June 8-10, 2018: Camping Sleeping Bag Pillow and blankets Cot/Air Mattress Barn Clothes/Boots Rain Gear/Boots Wash Cloths/Towels* Toiletries Sunscreen/Bug Spray Garbage bags Snacks Flashlight
Horse Halter, lead rope Shavings/Straw Water Bucket Feed Bucket Grain and Hay Treats, carrots Grooming Kit Fly Spray Shampoo, sponge Wheelbarrow/tub Pitchfork
Tack Saddle Saddle Pad(s) Cinch or girth Bridle, bit, reins Breast collar (optional) Showmanship halter/lead Show Outfit Riding Helmet Riding Boots Gloves (optional)
Miscellaneous 4-H Riding Level Card Note pad and pen Coggins Certificate Rabies Certificate $5/person for Pizza Party $10 for Stall Deposit Dish to Pass (Sunday) $10 camper/tent fee
**Please note** Restrooms will be available at Horse Camp, however given that the event falls well before the County Fair, there may or not be hot water available. Meals at Horse Camp -Breakfast and lunch are provided to 4-H Campers free of charge -Breakfast and lunch are available to camp guests for a donation -All are welcome to bring their own food and meals to camp, including grills -All are invited to join the Friday Night Pizza Party for $5 per person donation -All are welcome to join the Saturday Night Potluck dinner free of charge -Please indicate on the registration form if you’d like to bring a dish to pass (refrigeration available) -If you indicate yes, we will contact you before Horse Camp to coordinate dishes for the potluck dinner -Bottled water will be available throughout the weekend for a small donation -All food, beverage, and shirt donations go directly to covering the costs to operate 4-H Horse Camp
Please contact the 4-H Office with any questions: (607) 547-2536 ext. 225
2018 4-H Horse Camp Registration Packet Horse Camp Show Class List ***Bring this form with you to Horse Camp*** Registration opens at 8:00 AM Show starts at 9:00 AM Campers will register for their classes at Horse Camp
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Senior/Junior Pony Showmanship WTC Showmanship WT Showmanship Green WT Showmanship Senior/Junior/Pony Hunter Pleasure WTC Hunter Pleasure WT Hunter Pleasure Green WT Hunter Pleasure Cloverbud/Lead Line Hunter Pleasure Senior/Junior/Pony Hunter Equitation WTC Hunter Equitation WT Hunter Equitation Green WT Hunter Equitation Cloverbud/Lead Line Hunter Equitation Senior/Junior/Pony Hunter Over Fences (2’) WTC Hunter Over Fences (2’) WT – Hunter Over Cross-Rails (18”) Green WT – Hunter Over Cross-Rails (18”) Senior/Junior/Pony Western Pleasure WTC Western Pleasure WT Western Pleasure Green WT Western Pleasure Cloverbud/Lead Line Western Pleasure Senior/Junior/Pony Horsemanship WTC Horsemanship
26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48
WT Horsemanship Green WT Horsemanship Cloverbud/Lead Line Western Equitation Senior/Junior/Pony Disciplined Rail WTC Disciplined Rail WT Disciplined Rail Senior/Junior/Pony Dash WTC Dash WT Dash Green WT Dash Cloverbud/Lead Line Dash Senior/Junior/Pony Cloverleaf Barrels WTC Cloverleaf Barrels WT Cloverleaf Barrels Green WT Cloverleaf Barrels Cloverbud/Lead Line Cloverleaf Barrels Senior/Junior/Pony Pole Bending WTC Cloverleaf Pole Bending WT Cloverleaf Pole Bending Senior/Junior/Pony Trail WTC Trail WT Trail Green WT Trail
Showmanship and Trail can be shown either Western or Hunt Seat, but not both There are no entry fees, registration is included in the 4-H Horse Camp Fee Ribbons will be awarded using the Danish System Appropriate show attire is required All campers must exhibit in Showmanship, with exception to Lead Line and Cloverbuds Classes may be combined or split as deemed appropriate by the 4-H Horse Science Committee Break for lunch will take place midday Trail will be run in the warm-up ring from approximately 11 AM-3 PM Judge’s decision is final on all placings
Please contact the 4-H Office with any questions: (607) 547-2536 ext. 225
