VIRGINIA TRAPPER SKILLS WEEKEND REGISTRATION; June 27 – 28, 2015 FOR AGES 10- ADULT; UNDER 18 MUST ATTEND WITH PARENT OR RESPONSIBLE ADULT (Please Print) Name: Phone: Address: Email: City/State, Zip: I am 18 or older Name you wish to have on name tag: Gender: Male , I am under 18 (list age): Female Class sizes are limited, first to register has first choice of classes, parents and youth must take same classes. For each session rank your top three choices by placing the numbers 1 - first choice, 2 - second choice, 3 - third choice in the corresponding boxes. Your alternate selections (choices 2 & 3) will be used if your first class choice is full. No class changes after arrival. Detailed class descriptions: http://holidaylake4h.com/pdf/Adult%20Programs/vatrapperclass.pdf SATURDAY, June 27 AFTERNOON SESSION (1:00pm to 5:00 pm) Classes will not be assigned until payment is received ADVANCED TRACK PICK 2 CLASSES SUNDAY, June 28 MORNING SESSION (8:00am to 12:00 pm) Classes will not be assigned until payment is received ADVANCED TRACK PICK 2 CLASSES BASIC TRACK – Land Trapping (4 hrs.) BASIC TRACK – Water Trapping (4 hrs.) ADVANCED TRACK – BEAVER / OTTER (2 hrs.) ADVANCED TRACK – BOBCAT (2 hrs.) ADVANCED TRACK – BOBCAT (2 hrs.) ADVANCED TRACK – COYOTE (2 hrs.) ADVANCED TRACK – COYOTE (2 hrs.) ADVANCED TRACK – DOG PROOF / RACOON (2 hrs.) ADVANCED TRACK – FOX (2 hrs.) ADVANCED TRACK – FOX (2 hrs.) ADVANCED TRACK – FUR HANDLING (2 hrs.) ADVANCED TRACK – FUR TANNING (2 hrs.) ADVANCED TRACK – MUSKRAT (2 hrs.) ADVANCED TRACK – SNARING (2 hrs.) T-shirt size (adult sizes only): S ; M ; L ; XL ; 2X ; 3X FEE INCLUDES: Meals Saturday Lunch through Sunday lunch, lodging, and all instruction. You will have an opportunity to purchase an optional VTA Annual Membership at the event: $25 for adults, $18 for junior Mail this form and a registration check by June 5, 2015 for the early bird fee of $85; after June 5: $95; make check payable and mail to: Holiday Lake 4-H Center, VTSW Questions? 1267 4-H Camp Road Call: 434-248-5444 Appomattox, VA 24522 bbranch@vt.edu REGISTRATION DEADLINE: June 12, 2015 REFUND POLICY: up to June 12, 2015: full; up to June 19, 2015: half; after June 19, 2015: nonrefundable A Partnership Program Presented by: virginiatrappers.org HOLIDAY LAKE 4-H CENTER holidaylake4h.com dgif.virginia.gov Holiday Lake 4-H Educational Center and Virginia Cooperative Extension programs and employment are open to all, regardless of age, color, disability, gender, gender identity, gender expression, national origin, political affiliation, race, religion, sexual orientation, genetic information, veteran status, or any other basis protected by law. An equal opportunity/affirmative action employer. If you are a person with a disability and desire any assistive devices, services or other accommodations to participate in this activity, please contact Holiday Lake 4-H center at 434-248-5444 during business hours of 8:00 a.m. and 4:30 p.m. to discuss accommodations 5 days prior to the event.