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 410-386-2760 or email
kgordon1@umd.edu.
Market Swine, Lamb and Goat Weigh-In and Tagging
Therapeutic Riding Barn
Market Swine: Friday, May 3rd, 5-9pm
Market Sheep and Market Goat: Friday, May 10th, 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 29th for Swine and May 3rd 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 410-386-2760
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.
UME Volunteer Leader Training
Oh Look… It’s Snowing!
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?
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 410-386-2760.
The next UME training is scheduled
for Tuesday, March 19th at 6pm.
Please call the Extension Office at
410-386-2760 to register.
Demonstration Day!
DUE DATE
Club Planning, Secretary and Treasurer
Books will be due to the Extension
Office by COB on Feb. 15, 2013.
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 1st.
The procedure will be the same as last
year. Any questions, please call Kathy
or Becky at 410-386-2760.
Record Book Judging Training
Looking for something to do on those
cold winter nights?? On February 13th,
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 13th!
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 410-756-7280 no later than
February 8th.
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 16th 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 410-374-5098.
OFFICE MAILBOX
Fashion Revue Meeting
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!!
The Fashion Revue Committee will be
holding a meeting on Wednesday,
March 6th 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 20th. Look for the
registration information in March’s
Tribune.
Fashion Revue will take place on
Time to start
Saturday, June 1st.
planning on what you’ll model!!
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 (MonFri), Hashawha Environmental Ctr. Ages
10-14 (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 12th. 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 17th. 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, 2013. Keep an eye out in upcoming
Tribunes for more information.
4-H Legislative Day in Annapolis
4-H Legislative Day is scheduled for
President’s Day, February 18, 2013.
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 443-375-6963
for more information.
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
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
www.agnr.umd.edu/AGNRCalendar/
Topics include:
Feb 26-Preparing for Competitive Events
Mar 25-Animal Science Project Records
April 30-Risk Management
May 28-Sportsmanship
Skillathon!
Quality Assurance
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 2nd.
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
http://www.maryland4h.org/AHQA. You
must register and complete this program
if you are going to show. The website
will open March 1st and is available 24
hours a day. If you receive an error
message while trying to complete it
please let Kathy know.
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, 2013.
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”.
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 4H/FFA Fair Entries starting in May.
Dairy Lease/Own
The 4-H AnSc committee is doing a 2year trial, where Dairy Steer owners
may lease a Dairy Heifer. If you have
any questions about this policy, please
contact Kathy at 410-386-2760.
All leases are due to the 4-H Office
by May 1, 2013.
Swine Workshop
The Swine Workshop will be held
Sunday, April 7th from 2-4pm at the
Extension Office. Please RSVP to the
Extension Office at 410-386-2760 by
April 3rd. Plan on attending if you are a
novice or junior exhibitor.
If you have any questions, please call
Vicki Wagner, Swine Superintendent, at
410-239-6750
or
email
at
morningchoicefarm@verzion.net If you
are new to Swine exhibiting, please let
Vicki Wagner know by emailing her at
morningchoicefarm@verzi
on.net and she will add
your email 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
for
more
at
rshirley@umd.edu
information.
In addition, this site at Cornell University
can give you more information about
working with oxen, check it out!!
http://smallfarms.cornell.edu/2012/06/27
/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, 2013.
“Safety on the Job” Poster Contest
Contest is open to all youth between the
ages of 5-14. This contest promotes
awareness about the importance of
workplace safety. For more information
on rules and how to enter visit
www.asse.org.
Entry deadline is
February 14, 2013.
To all the Carroll County youth who
were recognized at the MD 4-H Awards
Gala on January 20th!! 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.
CC 4-H HotShots Club
Carroll County 4-H Hotshots will be
holding a Basket, Vera Bradley, ThirtyOne 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 410-2592202 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 13th 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 410984-8253.
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 27TH – AUGUST 2ND
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 410-239-6750.
“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 16th. 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, 814-644-5054 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 410-984-0626 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 14-16. 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 http://queenannes.umd.edu. For more
information contact Kathy at 410-386-2760.
Carroll County 4-H Dog Training Registration
Registration for Carroll County 4-H Dog Training Classes will be on Tuesday, April 9th
from 6:30pm-8pm at the Carroll County Extension Office. Youth hoping to participate will
need to call Robin Korotki at 410-239-6251 (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 23rd, 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 23rd for the evaluation. The minimum age for dogs participating in this
program is at least 4 months of age by April 23rd 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
8-18. If you have questions, please call Kathy, 410-386-2760.
DON’T FORGET THAT INCOMPLETE UNIT COMPLETIONS
NEED TO BE RESUBMITTED TO THE EXTENSION OFFICE BY
FEBRUARY 11, 2013.
Kathy Gordon
Extension Educator
4-H Youth Development
kgordon1@umd.edu
Jim Serfass
Extension Educator
4-H Youth Development
jserfass@umd.edu
Becky Ridgeway
Extension Educator
4-H Youth Development
bridgewa@umd.edu
www.carroll.umd.edu/4h The Carroll County 4-H Website. Find The Tribune online, plus other forms and
information for youth and leaders.
www.maryland4h.org 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:
410-386-2760
University of Maryland Extension
Toll-Free:
888-326-9645
700 Agriculture Center
Fax:
410-876-0132
Westminster, MD 21157-5700
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 410-386-2760, fax: 410-876-0132, 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 20-21
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 24-27
CC 4-H Camp, Hashawha
July 8-11
Clover Day Camp, CC Ext Office
July 15-19
CC 4-H Camp, Hashawha
July 27-Aug 2
CC 4-H/FFA Fair
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, 2013. 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.
888.339.3334 |
Lending support to rural America™
Laugh
. Farm
.
Take
1
mafc.com
Don’t miss out! Be sure to come to the
Retreat Round-Up
Horses of Many Colors for a Cause
Sunday February 17, 2013
2:00-5:00pm
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, email retreatroundup@comcast.net
Find us on the web at www.farmerruth.com/retreat or look for
The Retreat Round-Up on Facebook
Special Preview Saturday Feb 9-16 at the Carroll County Arts Council!
www.carrollcountyartscouncil.org
DUE: April 12, 2013
ONE APPLICATION PER CAMPER
“Camp Castaway”
CARROLL COUNTY 4-H RESIDENTIAL CAMP APPLICATION FORM – Youth ages 10 - 14
*** 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 Email:_________________________________
Parent/Guardian Phone No.(Home):_______________________
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
Parent/Guardian Phone No. (Work):_______________________
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 (410/386-2760) 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 $50. 00 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.
*** 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 410-386-2760 or 1-888-326-9645 by
May 20, 2013.
•
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, 2013. 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 21157.
$_______ 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, 2013.
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.
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:_______________
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 Email:_________________________________
Parent/Guardian Phone No.(Home):_______________________
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
Parent/Guardian Phone No. (Work):_______________________
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 (410/386-2760) 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 $50. 00 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.
*** 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 410-386-2760 or 1-888-326-9645 by
May 20, 2013.
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, 2013. 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 21157.
$_______ 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, 2013.
•
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.