Montgomery County 4-H News & Notes March 2016 A PDF Version of this newsletter is available on the Montgomery County 4-H Website Montgomery County 4-H 18410 Muncaster Rd Derwood, MD 20855 (301) 590-9638 extension.umd.edu/montgom ery-county/4-h-youth Alganesh Piechocinski, CFLE Senior Extension Educator 4-H Youth Development (301) 590-2804 algapie@umd.edu David Gordon Extension Educator 4-H and Agriculture (301) 590-2813 dgordon3@umd.edu Jeannine Shriver Administrative Assistant (301) 590-3210 jshriver@umd.edu Mike Laudwein 4-H Program Assistant (301) 590-2824 mlaudwei@umd.edu 4-H CALENDAR APRIL 9 - healthy lifestyles workshop, p. 4 15 & 16 - fashion overnight, p. 3 16 - flowers workshop & Pepco workshop I, p. 2 23 - Pepco workshop II 29 - basket bingo, p. 1 30 - DEADLINE to collect baby diapers, p. 7 MAY 1 - Grow It, Eat It open house, p. 6 21 – Will's Fair, p. 3 4-H CAMP TAWASENTHA 4-H Camp will take place from July 10 - 15. 4-H Camp is for any youth (not just 4-H’ers) who will be 8 – 13 on January 1, 2016. We offer swimming, fishing, and canoeing on 24 acre Cunningham Lake, and campers sleep in rustic cabins throughout the grounds. We have several nature trails and a nature education center. Campers can enjoy educational hikes led by a trained naturalist. Those who want a challenge can experience our outdoor confidence course, led by professionals trained to help campers safely test their physical ability and gain team building skills. We also have a rifle and archery range with certified instructors. We offer crafts classes, leatherworking, multiple group activities, and we provide our culinary-inclined campers a chance to learn outdoor cooking skills. Register by June 1: To reserve your spot, send a registration form, found at the end of this issue, and your camp fee (you may pay a deposit or the full amount) to the 4-H Office. There are also several other necessary forms, which can be found at the link below. Find the forms here: https://extension.umd.edu/montgomery-county/4-h-youth/4-hcamp-tawaswentha. LONGABERGER BASKET BINGO NIGHT April 29, 5:30 pm Damascus American Legion (10201 Lewis Dr, Damascus, MD 20872) Come to the Montgomery County 4-H Basket Bingo to support our Interstate Exchange Program! There will be Longaberger baskets to win, raffles, and door prizes. The doors open at 5:30 and the games begin at 7:00. All the baskets are brand new and filled. An excellent dinner will again be available for purchase, and those proceeds will go to benefit Relay for Life. We’re also looking for sponsors for our baskets—we need people to help cover the cost of the baskets and to fill them. Remember, the donations are tax deductible! 1 21 - healthy lifestyles contest, p. 4 21 - visual communications contest, p. 4 For tickets or to sponsor a basket, contact Mike Laudwein (mlaudwei@umd.edu, 301 590 2824) or Robin Lechlider (rlechlider@aol.com, 240 793 1777). Admission is $20 in advance and $22 at the door—make sure you have a seat! JUNE 1 - camp registration & payment due, p. 1 8 - fashion revue judging, p. 5 11 - fashion revue, p. 5 ADVENTURE IN SCIENCE Adventure in Science (AIS) is a hands-on science education program for children ages 8-14 running on Saturday mornings from late JULY October to March. The goal of AIS is to present 10-15 - 4-H Camp Tawasentha, science as an exciting activity and a way of p. 1 thinking about the world, rather than as a collection of facts. The topics presented reflect the interests of the children and of the volunteers, rather than any prescribed curriculum. The online application date will be announced in the future. More information can be found here: http://www.adventureinscience.org. If you have questions, please contact Ms. Algaganesh Piechocinski, algapie@umd.edu, 301 590 2804. FUN WITH FLOWERS WORKSHOP Date: April 16 The Neighborhood Garden Club of Gaithersburg-Washington Grove is sponsoring a hands-on workshop for all 4-H youth at the 4-H Office on April 16, from 10 am – 1 pm. Our program this year is on flower arranging. Instructions will include the selection of suitable flowers and greenery, their preparation and grooming, and basic rules of flower arranging. You will also learn about growing your own plants for arranging. Each 4-H’er will make and take home two arrangements—a kitchen arrangement in a tin can and an arrangement for a luncheon table. These skills will help those wanting to enter a fresh flower arrangement in the Montgomery County Agricultural Fair. Also, why not stay for the Pepco Electric Workshop, to be held at the same location directly afterward? See below. Item to bring: a 28 – 29 ounce empty tin can, clean and with the label removed. Fee: please bring $3 to the workshop to help us cover the cost of materials. Register by April 12: fill out our short online form (http://goo.gl/forms/9SDuVtg42I) or call 301 590 2824. PEPCO ELECTRIC WORKSHOP Date: April 16 & 23 The Pepco Electric Workshop is a two-day event held on two consecutive Saturdays: April 16 and April 23, from 1:30 – 5:00 pm at the Montgomery County 4-H Office. To complete the workshop, you must attend both sessions. Registration is open to those 4-H’ers and non-4-H’ers who haven’t participated before (it is the same program from year to year) and who were 10 to 18 years old on January 1 of this year. The workshop includes where and how we get electricity, usage and measuring electricity, and electrical safety. You will also construct your own project that you can show at the fair! There are spots for 32 people at the workshop. Please register before April 8 by calling 301 590 3210 or online: http://goo.gl/forms/1hVQkOQAoh. 2 4-H PREMIER FASHION OVERNIGHT Date: April 15- 16, 2016 Location: 4-H Camp and Activities center, 3702 Basford Road, Frederick, MD 21703 Join youth from Frederick, Howard, and Montgomery Counties for an interactive and fun weekend. This weekend is designed for 4-H youth ages 8-18. This weekend is an opportunity for youth that have never carried the clothing or fashion projects the basic skills required to be successful. For youth that have experience in the clothing and fashion projects it will help sharpen their skills and knowledge in the project. This program will provide experiential learning situations, with communication, teamwork, and hands on with a sewing machine. We will have experienced clothing and fashion volunteers on hand to help youth throughout the entire weekend. Cost for the weekend is: $30 if providing own supplies, $50 and supplies are included. Youth are encouraged if they own a sewing machine to bring it. We feel this will provide more experience on a machine that they are already comfortable using. You don’t have to own a sewing machine to participate. We will have sewing machines for those who do not own their own. Go here to register by April 5 and see the schedule: https://www.eventbrite.com/e/central-cluster-4-h-premierfashion-overnight-tickets-22236701573 Patterns for sewing projects available at www.howard4-h.org. WILL’S FAIR The 2016 Will’s Fair, one of four regional spring livestock shows for Maryland 4-H and FFA members, is scheduled for Saturday, May 21, 2016 at the Howard County Fairgrounds. Entries are to be mailed to the 4-H Department, Carroll County – UME, 700 Agriculture Center, Westminster, MD 21157. Register no later than April 22, 2016. The rules and entry forms can be found here: https://extension.umd.edu/howard-county/4-h-youthdevelopment/wills-fair. HEALTHY LIFESTYLES WORKSHOP When: Saturday, April 9, 8:30 am - 2:30 pm Where: 4-H/Extension Office, Agricultural History Farm Park Mark your calendar for the 2016 Healthy Lifestyles Workshop! All 4-Hers are invited to attend the workshop, which takes place on Saturday, April 9 from 8:30 am – 2:30 pm at the county 4-H Office in Derwood. There will be a guest speaker, followed by hands-on workshops. The topics have not all been finalized, but will cover food science, agriculture, and baking. The workshops will be separated by lunch. This is a great opportunity for a county-level event on your Diamond Clover plan, as well as a nice entry for next year's record book, especially if you carry a foods project. However the best reason to come is that you are going to have a great time with all your county 4-H friends and learn some cool stuff! 3 Volunteers are needed for the workshop. We are looking for 4-H'ers 12 and over to sign up to volunteer for this opportunity, which can be used to earn SSL hours and to learn leadership skills. Please contact Alga Piechocinski (301 590 2804) if you are interested in volunteering. Register online here: http://goo.gl/forms/kIqRvHPhAQ. HEALTHY LIFESTYLES COMPETITION Date: May 21 Display your knowledge of healthy living! The Healthy Lifestyles Competition for the Central Cluster (Montgomery, Howard, and Frederick Counties) will be held at the Montgomery County 4-H office on Saturday morning, May 21, 2016. We expect to be finished before noon. Juniors, intermediates, and seniors may enter the following categories— poster, tablesetting, food science exhibit, and menu. Entries should be brought to the 4-H office by 8:30 am. The tablesetting and food science exhibits require a short interview with the judge, but the posters and menus can be dropped off for judging if you are unable to stay for the whole morning. Use of the computer and Choose My Plate (http://www.choosemyplate.gov/myplate/index.aspx) is strongly recommended for researching the menu entry. The poster theme this year is “Healthy Living, Healthy Future.” Club leaders are asked to encourage their members to register for one or more of the exhibits. Don’t forget that posters, tablesettings, and food science exhibits can also be entered in the county fair. And you can count this program as a county-level event in your Diamond Clover plan. If your entry continues on to the State Fair’s Healthy Lifestyles Contest, that’s a state-level event in your Diamond Clover plan. Visit our website to download the contest rules and guidelines: https://extension.umd.edu/montgomerycounty/healthy-lifestyles-visual-presentation-contests Register by May 13: fill out the online registration form at the link above or call 301 590 2824. The Visual Presentations Contest will take place at the same time as the Healthy Lifestyles Contest. 4-Hers are encouraged to enter in both events. VISUAL PRESENTATION COMPETITION Date: May 21 Demonstrations are a century-old tradition allowing 4-Hers to share their knowledge of their project areas with others. A special day to do that is coming up—the Central Cluster Visual Presentations Contest on Saturday, May 21, at the Montgomery County 4-H Office. We expect to be finished before noon. Registration and setup begins at 8:30 am at the 4-H Office. If you want to get the Communications portion of one of your projects completed, here is the perfect chance. This contest is for ALL 4-H’ers. A visual presentation can be an illustrated talk or a demonstration—they are viewed equally in the eyes of the judges. For an illustrated talk, posters and props are brought to help explain the topic. For a demonstration, steps in a procedure must be given and a finished product must be shown, in addition to having posters and needed materials or ingredients. Visuals for illustrated talks or demos may be created using computer software like PowerPoint. The judges will be looking for presentations that are interesting, well organized, and show what you know about your project area. For seniors there is a special contest at the State Fair this year: the Horticulture Demonstration Event. Qualified contestants are nominated for these contests based on performance at the county level. Seniors may sign up for this event in addition to the regular visual presentations contest. The Champion at the state level is awarded a national trip. 4 Visit our website to download the contest rules and guidelines: https://extension.umd.edu/montgomerycounty/healthy-lifestyles-visual-presentation-contests Register by May 13: fill out the online registration form at the link above or call 301 590 2824. The Visual Presentations and Healthy Lifestyles events will run simultaneously that Saturday morning. Register for both, or observe whichever contest you are not registered for. FASHION REVUE & TALENT SHOW The Central Cluster Fashion Revue Show and 4-H’s Got Talent will be held on Saturday June 11, 2016 at Montgomery County Fairgrounds 16 Chestnut Street Gaithersburg, MD 20877. There will be $1.00 per person admission (but not for participants). Any 4-H’er carrying the Clothing or Fashion Revue projects may participate in the Fashion Revue Show. New this year is a category just offered in the Central Cluster Show. We have added a “Show Theme Category” 2016—Pajamas. Everyone is encourage to sew pajamas! All participants can enter in this category in addition to their already sewn and ready-to-wear garments. New this year we will be showcasing a few talent acts during the “4-H’s Got Talent” show during the Fashion Revue Intermission. It is going to be a fun night, so come out and participate or support fellow 4-Her’s!!!! There are several opportunities for 4-H’ers to participate in the Central Cluster Fashion Revue Show. If you are carrying Food and Nutrition, Public Speaking or even Crafts projects you could serve on one of the sub –committees to help prepare for the show. There are three sub-committees, Foods, Narrations, and Decorations, if you are interested in participating on one of the committees please contact Howard- Chris Rein at (410) 313-1915 or crein@umd.edu, Montgomery-Alga Piechocinski at (301) 590-2804 or algapie@umd.edu or Frederick- Donielle Axline at (301) 600-1590 or dinskeep@umd.edu. The rules and regulations, classes, guidelines, and entry forms are posted here: https://extension.umd.edu/montgomery-county/fashion-revue. Please read them carefully and remember they must be complete with a narration and swatch of fabric. Judging of entries will be June 8 at the Montgomery County 4-H Office, 18410 Muncaster Rd, Derwood, MD 20855. These entries are due by Monday, May 9th to the Howard County Extension Office (3300 North Ridge Road, Suite 240, Ellicott City, MD 21043). NO LATE ENTRIES WILL BE ACCEPTED. MARYLAND GRAIN PRODUCERS SCHOLARSHIP This scholarship is to provide financial support to students interested in pursuing an agriculturally related career. Applicants must be a resident of the state of Maryland and must be enrolled or accepted to a four-year institution working toward a Bachelor of Science Degree, or enrolled or accepted to a two-year institution with an agricultural program. The applicant, or the applicant’s immediate family, must be involved in the production of grain in Maryland. Prior scholarship winners will be considered. Students whose applications were declined in prior years are encouraged to reapply. Applications are due June 1. Find out more about the scholarship and print an application here: http://www.marylandgrain.com/Scholarships.htm. 5 GROW IT, EAT IT SPRING OPEN HOUSE Date: May 1, 2016, 9:30 – 4:00 Grow It, Eat It is a program offered by the Master Gardeners designed to teach people how to grow their own fruits and vegetables. It will be held on May 1 from 9:30 to 4:00 at the Agricultural History Farm Park (where the 4-H Office is located) and is open to everyone, young and old. Take a class, visit the garden, meet with Master Gardener consultants to discuss your gardening plans, attend demonstrations, pick up a free composting bin, view a beekeeping frame, build a bamboo trellis, join a seed swap (bring your own seeds to exchange), and visit the plant sale sponsored by many local suppliers. See the schedule here: https://extension.umd.edu/sites/default/files/_docs/programs/mastergardeners/Montgomery/5.1%20early%20schedule.pdf. There will be several workshops designed specifically for youth—each one costs $12 and an adult must attend with their child (no cost for the adults): Discover Bugs, 2nd – 3rd grade children: talk to specialists about good and bad bugs. See bugs in action, explore bug homes, and see bugs in our garden. Children will do a bug craft to take home! Register here: http://discoverbugs2016.eventbrite.com. Discover Gardening, 2nd – 3rd grade children: visit our gardens with our Master Gardeners for inspiration and gather knowledge for your own garden. Learn about garden design, different plants, and how they grow best. Then, plant one yourself to take home. Register here: http://discovergardening2016.eventbrite.com. Discover Flowers, 4th – 5th grade children: learn about the science of flowers, flower families, how flowers help people, craft with flowers, and how flowers can send messages. Register here: http://discoverflowers2016.eventbrite.com. Discover Trees, 6th – 8th grade children: learn about the science of trees, the connection between trees and people, and how to care for trees. Learn how to design a tree house. Register here: http://discovertrees2016.eventbrite.com. These talks are more suited to older children and adults: Basic Vegetable Gardening, Growing Backyard Berries, Hydroponic Gardening, Growing Tomatoes, Asian Vegetables, Edible Flowers, Soil Improvement, and Edible Plant Propagation. All are free except for plant propagation, which is $12 and requires registration here: https://edibleplantpropagation.eventbrite.com. GARDEN PLOT AVAILABLE TO INTERESTED GARDINERS Here is a message from our Camp Director, who has an opportunity for a 4-H gardening project or just a family of 4H’ers: I'm Meredith Smith and live 3 miles east of the 4-H Office on Brookeville Rd. just off Rt. 108. My dad's vegetable garden plot, approximately 40 feet by 50 feet, is available for any 4-H'er, family or club to plant vegetables and/or flowers. It was used by neighbors last year so will require some preparation prior to planting (and the sooner, the better). There is a ready water source. Deer protection will be needed (we have some materials). I want room enough for a few yellow squash plants and some tomato plants, but the rest is yours. Email me for more information at sbkwrm@aol.com. There is nothing like fresh food from the garden! 6 KIDS’ CORNER Articles by and about our 4-H’ers A BOUNTIFUL BEGINNING FOR BABIES My name is Lauren French and I am a member of Lucky Clovers Club. I have been in 4-H for 6 years and this year I am completing my Diamond Clover Service Project. My project supports Baby's Bounty, located in Montgomery County, MD. Baby's Bounty is a non-profit organization that helps babies born to disadvantaged mothers including women who are victims of domestic abuse, teenage mothers, and those in poverty. They provide these mothers with essential items needed to raise a healthy newborn. After doing research, I found that one of the most needed items are diapers. Diapers are extremely expensive. Many people do not know that diapers cannot be purchased with food stamps and they are not provided through programs like Women, Infants, and Children (WIC). On average, a healthy baby requires around 50 diaper changes per week, costing parents between $75-100 a month. That is a huge amount for a family living on minimum wage. If a family is struggling to afford diapers, babies can spend an extended amount of time in one diaper. This can cause major health problems which can spread to the family and then to the community. This will also cause the baby to cry constantly, bringing even more stress to the family. Finally, if a parent cannot provide enough diapers to a child care provider, they cannot leave their child in day care to work and make money for their family. For my project, I am conducting a Diaper Drive and I need your help! Since Baby's Bounty focuses on ages 0-6 months, I am asking for contributions of diapers sizes 0-1. It doesn't matter how large or small the donation is--every diaper counts. I am hoping the 4-H community will support this worthy cause. This month, I started visiting 4-H club meetings in the county to talk about the project. I am big thank you to the following clubs who have already allowed me to present my project and for the generosity of their donations: the Meat Goat Club, the Rabbit Club, the Wild West Wranglers Club and the Clarksburg Helping Hands Club! There are several ways you can help: Bring diapers to the collection box that will be located in the lobby of the 4-H Extension Office through the month of March and April. Go to the following Amazon.comlink and order diapers and have them sent directly to my home: http://www.amazon.com/gp/registry/wishlist/1R6MYQI8Q8WQZ/ref=topnav_lists_1 Donate cash, check or a gift card that will be used to purchase diapers. You can e-mail me at lrcfrench1@gmail.com to get my home address to send these donations to. Contact me to come to your meeting to talk to your club about my project and/or collect donations. MONTGOMERY COUNTY 4-H SCIENCE TEAM WINS BIG! A team of six Montgomery County middle school aged 4-H’ers from the Adventure in Science program won, along with seven other teams, the National Verizon Innovative App Challenge by creating an app designed to help children with autism. Their app, called AutBuddy, is designed to help students with autism communicate and stay focused, and to help 7 their parents and teachers keep track of how students are doing. The team won $20,000 and will receive help from the Massachusetts Institute of Technology to develop their app for widespread use. It will be available by June. Here is a YouTube link describing AutBuddy: https://www.youtube.com/watch?v=tP-74xuIBFo. AMERICAN RABBIT BREEDERS ASSOCIATION CONVENTION The 2015 annual American Rabbit Breeders Association convention was held this November in Portland, Oregon. Many members of the Montgomery County 4-H Rabbit Club attended and participated in the youth competitions. There was a rabbit show for both open and youth exhibitors. Rabbits are judged in a manner similar to other livestock judging. The judging process is based on how closely the rabbit resembles the ideal look (and feel) for its species, set All of the members of the Montgomery, Howard, and Carroll counties Rabbit Clubs who by the Standard of Perfection. Over 1,500 attended and competed. rabbits were entered, including cavies and new breeds in the process of getting recognized. The only new breed that passed at the convention was the Argente’ Brun. Also, members participated in the royalty contest and rabbit judging and showmanship contests. These included a written test, judging classes of rabbits, breed identification and rabbit showmanship (for younger members). Members also had an opportunity to participate in achievement, management, and educational contests. Several members of the team were invited to a second round. These callbacks included an interview before judges. They asked questions about ARBA, our rabbitries and rabbits in general. There were also team competitions. They consisted of Breed ID, team judging (for members twelve and older), and the quiz bowl (for members eleven and younger). Our Maryland State and district nine teams placed in the in the top three in many competitions. The members of the Montgomery County 4-H Rabbit club that competed were Renee Suzich, Jackson Douglas, Aidan Douglas, Brianna Kelly, Joey Udovich, and Jacob Udovich. GEARBOX 4-H CLUB’S FTC TEAM ADVANCES TO THE FIRST WORLD FESTIVAL by Jon Vandegriff The FIRST Tech Challenge Robotics team 7393 electron Volts, which is contained in Montgomery County's Gearbox 4-H club, participated in the East Super Regional tournament on March 18-20. Eight people from the club went to Scranton, PA to compete with seventy one other teams hailing from all over the East coast, from Maine to Virginia (and one from Jamaica). It was a very exciting three days as the team's robot competed in nine qualifying matches, and then made it into semifinals. We were partnered up with two other teams (the Nerd Herd from Virginia and 2 Bits and a Byte from Massachusetts). Our threeteam alliance ended up winning the tournament, and so we will go on to participate in the FIRST Tech Challenge World Festival in St. Louis, MO in late April. 8 HELPING HANDS HARVEST CHESTNUTS By Raisa Niederhelman On a cloudy Saturday in late September, members of the Clarksburg Helping Hands 4-H Club went to a small field of Chestnut trees at the base of Sugarloaf Mountain to help volunteers from the American Chestnut Foundation harvest chestnuts. The mission of the American Chestnuts Foundation is to breeding a blight-resistant American chestnut tree and the reintroduce of this tree to the forests of the Eastern United States. The American Chestnut once made up approximately 25% of the forest from Maine to Florida and from the Piedmont region to the Ohio Valley until the chestnut blight in the early 20th century destroyed most of the trees. In 1983, the American chestnut foundation began a program to backcross breed Chinese chestnut trees, which are naturally resistant to the blight, with American chestnuts. The first trees were 50% Chinese and 50% American; these trees were backcrossed with American trees to make 75% American and 25% Chinese. It takes 10 to 12 years for a seedling to produce chestnuts so the results are slow but they have been successful. In 2005 the American Chestnut Foundation harvested the first potentially blight resistant chestnuts and are testing the variety in selected orchards and forests. The Chestnuts we harvested in September were 100% American that will be used to continue the back cross breeding program and alternative research. It’s not easy to pick chestnuts. They have a prickly shell so you have to wear leather gloves to handle them. Some of the trees were 30 feet tall so we need to climb ladder and use an extendable handled fruit picker to twist the clumps of nuts off the upper branches. We worked in teams of ladder climbers and picking up the nuts after they dropped. In 3 hours we picked 4500 chestnuts! DAMASCUS COMMUNITY 4-H CLUB BANQUET By Catherine Zellers On January 30th, the Damascus Community 4-H Club held their Annual Achievement Banquet at the Damascus United Methodist Church. The theme was ‘The 80’s’ and many people dressed accordingly. The Leatherman family, including baby Isabel, came to see Paul Leatherman received an award for his outstanding leadership during his 35 years with 4-H, especially with the Woodworking project group. One of the mementos he received was a collage of himself with people he had helped throughout the years. We also heard from some of his family and 4-H alumni. In addition, the Club recognized all the Clovers, new members, members, and project group leaders. Since this was Melanie Lauer’s last year as leader, the Club thanked her for her dedication these past seven years by presenting her with a plaque and other gifts. Mica Biamonte did a great job putting together the year’s slideshow highlighting Club activities. Over all, the banquet was a roaring success. 9 OCEAN CITY 4-H VOLUNTEER FORUM by Pauline-Irene Preuninger On November 20-22 my family and I headed to Ocean City for the Maryland 4-H volunteer forum. All our meetings and activities were held in Carousel Hotel, which is also where we stayed overnight. All activities and workshops were put together for parents and teens who are part of any 4-H club in Maryland, so they could learn new ideas and concepts to take back to their clubs and communities. The theme was Strengthening Leadership in Adults and Teens Celebration and Collaboration. I chose to participate in activities such as: Why Evaluate? I learned new evaluation skills and methods of taking polls. Liven Up Your Club Meetings with Make It Take It Crafts: they taught a really cool craft with yarn and straws that I plan to show to my club. Making Everyone Feel Comfortable: Effectively Leading Songs and Skits: In that activity I learned some songs and different methods of teaching those songs to groups of people. Leave No Footprints: I learned how what we leave behind us can impact the earth, environment and animals, and ways we can minimize that risk. I liked all the activities that I signed up for and I hope they will have them again next year. Some of my highlights included: learning new ideas and skills, meeting new people, and the ice rink and pool inside the hotel. If you are looking for fun and new activities to bring back to your club while learning and enjoying yourself, then the Maryland Volunteer Forum is for you! How you learn about this event, whether through your club, News and Notes, or word of mouth, I hope to see you there next year. If you need special accommodation for a 4-H program, event, or activity, please call 301 590 2824 or email mlaudwei@umd.edu. The University of Maryland, College of Agriculture and Natural Resources programs are open to all 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, political affiliation, or gender identity and expression. 10 2016 Montgomery County 4-H Camp Tawasentha Registration YOU MUST BE BETWEEN THE AGES OF 8 AND 13 ON JANUARY 1, 2016 TO ATTEND CAMP IF YOU ARE 14 OR OLDER, YOU MUST ATTEND CAMP AS A YOUTH LEADER & RECEIVE TRAINING Camper Information Child’s First Name:______________________ Last Name:________________________ Nickname:_________________ Child’s Street Address:___________________________________ City:_________________ State:____ Zip:__________ Child’s Home Phone:_________________ Date of Birth:_____________ Age on Jan 1, 2016:_____ Gender:__________ Race and ethnicity for statistical purposes only and not required Race – check all that apply: ☐Asian Ethnicity: ☐Hispanic ☐Black ☐Hawaiian or Pacific Islander ☐Native American ☐White ☐Not Hispanic Names of siblings also registering for camp:__________________________________________________ Have you been to camp before? ☐Yes, I have been ____ time(s) before. My tribe was:___________________________ ☐No How did you hear about this camp? ☐4-H newsletter ☐From a friend ☐Washingtonian Magazine ☐4-H Club ☐Website ☐Other:__________________________ Name ONE person you would like in your cabin group (groups are formed of 3 cabins):____________________________ T-shirt size (adult sizes): ☐Small ☐Medium ☐Large ☐X-Large LIST ANY FOOD ALERGIES/SENSITIVITIES OR DIETARY RESTRICTIONS: LIST ANY SPECIAL ACCOMODATIONS WE MUST MAKE FOR YOU: Parent/Guardian Information Parent 1:_______________________________________ Parent 2:_______________________________________ Home Phone:_____________________ Home Phone:_____________________ Work Phone:_____________________ Work Phone:_____________________ Cell:_________________________ Cell:___________________________ Email:_________________________________________ Email:__________________________________________ <- COMPLETE OTHER SIDE -> 11 Payment Type Please check the appropriate box. ☐4-H member - $295 List your club(s):______________________________________________________________ ☐Non 4-H member—returning camper - $295 ☐Non 4-H member—first year camper - $395 Payment Plan You may make your payment all at once or you may make up to three payments. Please check one: 4-H Member/Returning Non 4-H Member Non 4-H Member—First Year Camper ☐One payment Payment in full due with registration $295 Payment in full due with registration $395 ☐Two payments Non-refundable deposit due with registration $50 June 1, 2016 - Balance due $245 Non-refundable deposit due with registration $50 June 1, 2016 - Balance due $345 ☐Three payments Non-refundable deposit due with registration $50 April 1, 2016 - Second payment due $122 June 1 2016 - Balance Due $123 Non-refundable deposit due with registration $50 April 1, 2016 - Second payment due $172 June 1, 2016 - Balance Due $173 Financial assistance is in great need for many of our campers and families. If you would like to make a donation to help send a child to camp please indicate the amount below and return it in addition to your camp payment to the address below. ☐I would like to make a donation to help a camper in the amount of $_____________. “By signing below, I indicate that I understand the terms and conditions of this agreement.” Parent/Guardian Signature:__________________________________________________ Date:__________________ Please mail this completed form & your deposit to: Montgomery County 4-H Camp 18410 Muncaster Rd Derwood, MD 20855 The University of Maryland, College of Agriculture and Natural Resources programs are open to all 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, political affiliation, or gender identity and expression. 12