FARM & TRACTOR SAFETY COURSE National Safe tractor ...
FARM & TRACTOR SAFETY COURSE National Safe tractor & Machinery operation Program SPONSORED BY REARDON BRIGGS CO. INC.
REGISTRATION Please fill out the attached registration form and mail it with your check (made payable to CCEDC) to: Cornell Cooperative Extension Dutchess County Attn: Cassie 2715 Route 44 Millbrook, NY 12545 Registrations are limited, spaces will be filled on a first come first served basis. Incomplete registrations or registrations without payment will not be accepted. You will be notified when we receive your registration.
Dutchess County 4-H will be hosting a National Safe Tractor and Machinery Operation Program (NSTMOP) course this Spring! Youth ages 14 and up will receive a training certificate; allowing them to hold jobs on farms and legally allow them to use farm equipment. Youth ages 8-13 are welcome to participate in the classroom portion of the training (with help from a parent where needed) however they are ineligible for certification. The cost of the course is $45.00 for the student manual and materials.
No registrations will be accepted after January 19th. Questions, please call Cassie Messina at (845)677-8223 x.108 or email at [email protected] www.reardonbriggs.com Cornell Cooperative Extension provides equal program and employment opportunities. The County of Dutchess partially funds Cooperative Extension Programming in Dutchess County.
NATIONAL SAFE TRACTOR & MACHINERY OPERATION PROGRAM
CLASS SCHEDULE Day #
Date
Time
Location
Class Content
1
February 15th Thursday
6:308:30pm
Farm & Home Center Millbrook, NY
Introduction to NSTMOP Program/Requirements Machine Safety Overview
2
February 22nd Thursday
6:308:30pm
Farm & Home Center Millbrook, NY
Tractor Cab and Controls Tractor Pre-Operational Checks Tractor Service Activities
3
March 1st Thursday
6:308:30pm
Farm & Home Center Millbrook, NY
Tractor Operation Activities Tractor and Machine Interface: Overview
4
March 8th Thursday
6:308:30pm
Farm & Home Center Millbrook, NY
Tractor and Machine Interface
5
March 10th Saturday
6:308:30pm
Farm & Home Center Millbrook, NY
6
March 15th Thursday
6:308:30pm
Farm & Home Center Millbrook, NY
Review/Catch-up Book Check Practice Test
7
March 17th Saturday
8:30 am12noon
Farm & Home Center Millbrook, NY
TESTS Written, Driving and Daily Maintenance
—
April 7th Saturday
9am
Farm & Home Center Millbrook, NY
TEST RAIN DATE
Special Guest Speaker and Driving Practice Session SPONSORED BY REARDON BRIGGS
** Please note, participants must attend 4 out of 5 Thursday sessions, 3/10 AND 3/17.
Cornell Cooperative Extension provides equal program and employment opportunities. The County of Dutchess partially funds Cooperative Extension Programming in Dutchess County.
CHILD’S NAME: _________________________________________________________________ AGE: _____
ADDRESS: _______________________________________________________________________________
SIGNATURE: _____________________________________________________________ DATE: __________
PARENT/GUARDIAN’S NAME (print): __________________________________________________________
The above agreement shall be binding on my heirs, successors, assigns, administrators, and executors. Any claims or disputes arising out of my child’s participation in this activity shall be venued in the Supreme Court of the State of New York located in the county of the Extension office.
I HAVE READ THE ABOVE AND BY SIGNING BELOW, I AGREE IT IS MY INTENTION TO GRANT PERMISSION FOR MY CHILD TO PARTICIPATE IN THE INDICATED ACTIVITY.
My child is in good health. I understand that he/she will participate in strenuous physical activity.
I fully understand and acknowledge that there are inherent risks and dangers in my child’s participation in the above activities and my child’s participation in such activities and use of any equipment related to such activities may result in injury, illness, or death, and damage to personal property. I understand other participants, accidents, forces of nature, or other incidents may cause these risks and dangers and I hereby accept these risks and dangers.
I hereby grant permission for my child ________________________________________ to participate in the National Safe Tractor and Machinery Operation Program Activity sponsored by Cornell Cooperative Extension of Dutchess County on the dates of February 15, 2018 through April 7, 2018 and acknowledge as follows
This form must be completed before child may participate.
CORNELL COOPERATIVE EXTENSION DUTCHESS COUNTY, NEW YORK Acknowledgement of Risk
4-H Club: _____________________________________________________________________
Phone #: ____________________ Email: ___________________________________________
Address: _____________________________________________________________________
Name: ________________________________________ D.O.B.:___/_____/____ Age: _____
REGISTRATION FORM
NATIONAL SAFE TRACTOR & MACHINERY OPERATION PROGRAM (NSTMOP)
REGISTRATION Please fill out the attached registration form and mail it with your check (made payable to CCEDC) to: Cornell Cooperative Extension Dutchess County Attn: Cassie 2715 Route 44 Millbrook, NY 12545 Registrations are limited, spaces will be filled on a first come first served basis. Incomplete registrations or registrations without payment will not be accepted. You will be notified when we receive your registration.
Dutchess County 4-H will be hosting a National Safe Tractor and Machinery Operation Program (NSTMOP) course this Spring! Youth ages 14 and up will receive a training certificate; allowing them to hold jobs on farms and legally allow them to use farm equipment. Youth ages 8-13 are welcome to participate in the classroom portion of the training (with help from a parent where needed) however they are ineligible for certification. The cost of the course is $45.00 for the student manual and materials.
No registrations will be accepted after January 19th. Questions, please call Cassie Messina at (845)677-8223 x.108 or email at [email protected] www.reardonbriggs.com Cornell Cooperative Extension provides equal program and employment opportunities. The County of Dutchess partially funds Cooperative Extension Programming in Dutchess County.
NATIONAL SAFE TRACTOR & MACHINERY OPERATION PROGRAM
CLASS SCHEDULE Day #
Date
Time
Location
Class Content
1
February 15th Thursday
6:308:30pm
Farm & Home Center Millbrook, NY
Introduction to NSTMOP Program/Requirements Machine Safety Overview
2
February 22nd Thursday
6:308:30pm
Farm & Home Center Millbrook, NY
Tractor Cab and Controls Tractor Pre-Operational Checks Tractor Service Activities
3
March 1st Thursday
6:308:30pm
Farm & Home Center Millbrook, NY
Tractor Operation Activities Tractor and Machine Interface: Overview
4
March 8th Thursday
6:308:30pm
Farm & Home Center Millbrook, NY
Tractor and Machine Interface
5
March 10th Saturday
6:308:30pm
Farm & Home Center Millbrook, NY
6
March 15th Thursday
6:308:30pm
Farm & Home Center Millbrook, NY
Review/Catch-up Book Check Practice Test
7
March 17th Saturday
8:30 am12noon
Farm & Home Center Millbrook, NY
TESTS Written, Driving and Daily Maintenance
—
April 7th Saturday
9am
Farm & Home Center Millbrook, NY
TEST RAIN DATE
Special Guest Speaker and Driving Practice Session SPONSORED BY REARDON BRIGGS
** Please note, participants must attend 4 out of 5 Thursday sessions, 3/10 AND 3/17.
Cornell Cooperative Extension provides equal program and employment opportunities. The County of Dutchess partially funds Cooperative Extension Programming in Dutchess County.
CHILD’S NAME: _________________________________________________________________ AGE: _____
ADDRESS: _______________________________________________________________________________
SIGNATURE: _____________________________________________________________ DATE: __________
PARENT/GUARDIAN’S NAME (print): __________________________________________________________
The above agreement shall be binding on my heirs, successors, assigns, administrators, and executors. Any claims or disputes arising out of my child’s participation in this activity shall be venued in the Supreme Court of the State of New York located in the county of the Extension office.
I HAVE READ THE ABOVE AND BY SIGNING BELOW, I AGREE IT IS MY INTENTION TO GRANT PERMISSION FOR MY CHILD TO PARTICIPATE IN THE INDICATED ACTIVITY.
My child is in good health. I understand that he/she will participate in strenuous physical activity.
I fully understand and acknowledge that there are inherent risks and dangers in my child’s participation in the above activities and my child’s participation in such activities and use of any equipment related to such activities may result in injury, illness, or death, and damage to personal property. I understand other participants, accidents, forces of nature, or other incidents may cause these risks and dangers and I hereby accept these risks and dangers.
I hereby grant permission for my child ________________________________________ to participate in the National Safe Tractor and Machinery Operation Program Activity sponsored by Cornell Cooperative Extension of Dutchess County on the dates of February 15, 2018 through April 7, 2018 and acknowledge as follows
This form must be completed before child may participate.
CORNELL COOPERATIVE EXTENSION DUTCHESS COUNTY, NEW YORK Acknowledgement of Risk
4-H Club: _____________________________________________________________________
Phone #: ____________________ Email: ___________________________________________
Address: _____________________________________________________________________
Name: ________________________________________ D.O.B.:___/_____/____ Age: _____
REGISTRATION FORM
NATIONAL SAFE TRACTOR & MACHINERY OPERATION PROGRAM (NSTMOP)
