REGISTRATION INFORMATION 2016 CENTRAL AREA 4-H HORSE CAMP DATES: June 2-5, 2016 Thursday 11:00 a.m. thru Sunday 4 p.m. LOCATION: Camp Shamineau (between Lincoln and Motley, 2 miles E of Hwy 10) ELIGIBILITY: 4-H'ers enrolled in grades 3 and up. 4-H Cloverbuds are not eligible to participate. Since the 4-H ers are responsible for the complete care & saddling of their own horse, we encourage parents of young 4-H ers to attend. (Mature 3 rd graders may participate only if a parent or adult in charge of that 4-H er is present.) All 4-H'ers must stay in the lodge/cabin. Parents are encouraged to come and may bring a horse. Classes will be provided for adults (cannot ride in 4-H'ers classes). Adults have the option of staying in lodge/cabin or camping. Adults staying in the lodge or cabin will pay $185, which covers lodging, meals, Thursday night pizza and expense fee. All adults NOT staying in the lodge must stay in the campground. There will be no camping in the barn area. There is an additional $30 fee for those in campground to cover costs. This means that they will pay the camping fee of $7.50 per night per person, plus $30 per person for the weekend. Anyone camping has the option of purchasing meals in the dining center plus the Thursday night Pizza. The 4-H staff reserves the right to not invite a camper to attend if there has been misbehavior on his/her part in past years, including, but not limited to, unexcused absences at the required sessions. COSTS: (Full amounts must accompany registration checks will be cashed on April 1 to allow time for processing note earlier date). $185.00 4-H'ers in lodge/cabin, all meals for all days $185.00 Adults in lodge/cabin, all meals for all days $7.50 Adults Camping Fee--staying in campground, no meals, per person per night
$30.00 Adults in campground expense fee, per person/weekend (in addition to camping fee) $35.00 Adults one night in lodge, no meals $5.00 Zip Line per person (4-H ers and adults) $2.00 Insurance per person (4-H'ers and adults) MEALS AT DINING HALL FOR ADULTS NOT IN LODGE/CABIN: $7.00 Breakfast $7.00 Noon Dinner $7.00 Supper $7.00 Pizza Buffet included in lodge/cabin camp cost; adults camping may purchase WORKSHOPS:(TENTATIVE) Western Horsemanship/Western Pleasure, Games, English, Drill Teams, Desensitizing, Craft, Showmanship, Western Heritage, Bits & Bitting, Horse Bowl. OTHER: Coggins test 2016 test required bring proof of negative results make sure the results are legible!! 2016 vaccinations required (Sleeping sickness, tetanus, influenza bring receipt if you give shots yourself or Veterinarian's letter.) Insurance required on 4-H'ers and adults. Insurance form must accompany registration and be signed by county 4-H program coordinator. If your county does not have insurance, or your county has not signed the form, include the $2 per person with your registration. Bring your own horse limit 1 per 4-H'er or adult horse must be 3 or over & healthy Camp staff has option to not allow a 4-H'er or adult to ride the horse if it isn't healthy, sound, or safe. Bring your own feed, tack, equipment, & straw or shavings (needed for tie stalls). Helmets required (adults & 4-H ers) must be ASTM/SEI approved NO BIKING HELMETS! (some helmets will be available on loan from camp with deposit). Group Placement you will ride as soon as you arrive to be placed in a group based on your skill level AND your horse s level of training. These groups will be assigned by 5:30 p.m. Thursday. If you cannot arrive by 4:00 p.m. on Thursday, you must notify staff. Stalling stalls will be assigned by staff. These assignments are NOT based on when your entry comes in. Horses will be in tie stalls, paddocks (usually 2 horses in each), tied to
trailers, or you may bring portable panels to set up by your trailer. If your horse won't tie, we suggest you either train it to do so or bring a different horse. The four arenas in the barn area will be used at night for those who tie to trailers on a rotating basis so everyone has a turn at least one night. Tack we have a very limited area for tack, so we will be using trailers as tack rooms for the weekend. They will be parked in the barn/paddock area. Let us know if you are willing to let your trailer be used. Welcoming Committee we would like a team of Youth Leaders who have attended camp previously to serve on a welcoming committee. Their responsibilities would be to help first year campers through the process of settling in on Thursday showing them where to park, where the rooms are, the way to the dining hallo, etc. Sign up on the registration form if you are interested. You must arrive by 10 a.m. to participate and you will receive a special T-shirt to wear on Thursday as part of the team. Sunday Show there will be a costume show plus a fun game show. Zip Line for those interested, the zip line will be open ONLY Friday afternoon during free time. You must sign up, pay the additional cost of $5 per person, and sign a special release from Camp Shamineau. Only those (including adults) who have paid and signed the release will be allowed to participate. The zip line is riding down a cable in a harness. You may watch for free!! Horse area will be patrolled at night by adults. Adults those who stay are asked to help in some area. Please indicate on your registration form what you would like to do. Chaperones must be MN 4-H screened volunteers. Camp activities canoeing, tubing, swimming (if we can get a lifeguard & it is warm enough!!), gym may be open (basketball, floor hockey, etc). The zip line is available only for those who have signed up and paid the $5 fee. Pizza Buffet Thursday eve this is included in the cost for those in the lodge/cabin. If any adults who camp want this there is a $7.00 charge. There will be no refunds if you are unable to be there. Email to save some postage money, please CLEARLY PRINT your email address if you have one. Your registration can then be confirmed and information (such as instruction letter, directions to camp, health form, stall assignments, etc) can be sent to you electronically. If you have not received information by May 24, please contact Lynn Watland. Permission to Leave Camp If it is necessary for a 4-H er to leave camp to attend a special activity or a trip to the Dairy Queen, written permission must be given by parent or guardian. Displays bring your posters, displays, horse-related exhibits from previous years to display.
Registration: Limited to 80 4-H'ers Total amount of fees for camping, meals, insurance, and pizza due at registration (checks will be cashed on April 1) Cancellation accepted until April 30 with full refund. After that a refund is given (less $10 processing fee) only if another 4-H'er is available to fill in. Make checks payable to: University of Minnesota For further information: (Do not contact Camp Shamineau for information) Lynn Watland 27753 Co Rd 26 Browerville, MN 56438 218-894-2611 or cell phone at 218-296-1611 Email: glwatland@gmail.com Confirmation: By Email: These will be sent out beginning the first week in April By Mail: If you do not have email, please include a stamped, self-addressed envelope or postcard for confirmation. These will be sent out about the first week in April.
FAMILY REGISTRATION FORM 2016 Return with total fees (Payable to: University of Minnesota) ASAP to Central Area 4-H Horse Camp c/o Lynn Watland, 27753 Co Rd 26, Browerville, MN 56438--218-894-2611 4-H MEMBERS (ENTER NAME YOU WISH TO BE CALLED BY) NAME OF 4-H'ER M/F GRADE THIS YEAR NAME OF 4-H'ER M/F GRADE THIS YEAR NAME OF 4-H'ER M/F GRADE THIS YEAR ADDRESS CITY PHONE COUNTY ZIP Cell Phone# (County Where Enrolled in 4-H) #YEARS RIDING EXPERIENCE Email address (PLEASE PRINT CLEARLY UPPER/LOWER CASE MUST BE CORRECT) ROOMMATES REQUESTED: Zip Line Yes NO Names of all those wish to participate in this event: Welcoming Committee (Youth leaders, previously attended camp) Check if this is your first time attending this camp ADULTS PARENT NAMES NAMES OF ADULTS STAYING BRINGING HORSE? ACCOMMODATIONS FOR ADULTS REQUESTED (lodge/cabin or campsite) ADULT'S MEALS IN DINING HALL (only if camping) Indicate which & qty-such as Fri breakfast--1, Fri noon--2,etc)
TOTAL # OF HORSES BROUGHT PER FAMILY (Adults 4-H'ers ) ASSIGNMENT ADULTS WOULD LIKE: Patrol at night Games on Sunday Picnic on Sunday Chaperone in Lodge/cabins (must be screened) Set up Eve snacks Lifeguard Trail Ride Supervisor Maintain Water Bottles Nurse (RN LPN ) EMT Vet or VET Tech Other Do any of the 4-H ers have any special needs or concerns, physical or otherwise that the staff should be aware of? (Please explain) FEES 4-H ERS QUANTITY X PRICE = TOTAL 4-H'ers Thursday-Sunday in lodge/cabin x $185.00 = Zip Line Per person x $5.00 = Insurance per person (if NO county coverage) x $2. 00 = FEES ADULTS Adults in Lodge Thursday-Sunday x $185.00 = Adults Camping Fee (per person per night) x $7500 = Adults fee (if camping per person for weekend) x $25.00 = Zip Line x $5.00 = Insurance per person (if NO county coverage) x $2. 00 = MEALS (FOR THOSE NOT IN LODGE) INDICATE WHICH DAYS AND QUANTITY NO CHARGE FOR SUNDAY PICNIC) # Days x # meals x $7.00 = Total Breakfast x x $7.00 = Noon x x $7.00 = Supper x x $7.00 = Pizza Buffet (Adults camping ONLY) $7.00 per person = (Included for those staying in cabins & Lodge) Total Amount Paid:
INSURANCE VERIFICATION I hereby certify that (4-H'ers names) and (adults names) are covered by the 4-H insurance specifically for horse activities through County INSURANCE COMPANY NAME POLICY # Signature of 4-H Program Coordinator Date