Ingham County MSU Extension 2015 Paul Wolter 4‐H Horse Camp June 16, 17, 18 Ingham County Fairgrounds This three day camp is dedicated to the memory of Paul Wolter for his outstanding service to the 4‐H members of Ingham County. The 2015 Camp will have a format, consisting of a true “camp” atmosphere. Participants will be grouped together based on chosen discipline and age / skill level. Each group “camp” will have an instructor and teen volunteer to lead throughout the two days of camp. Thursday is a practice “horse show” where participants apply and demonstrate what they have learned at camp. Riding instruction is offered for various levels of skill; walk‐trot, through advanced. Disciplines offered are English Hunt Seat, Western, Gymkhana, Dressage and Jumping. Participants will choose one discipline and instruction level for the entire camp. Within the camp groups, additional demonstrations and information on horse care, horse behavior, training techniques and various other horse related topics, similar to previous year individual “clinics” but campers will not have individual schedules. As part of the learning experience, show clothes are recommended but not mandatory for Thursday. Members of a recognized Michigan 4‐H program, 9‐19 years of age by January 1, 2015 may register. Non 4‐H members also 9 – 19 yrs. are welcome but must pay an additional $10.00 participation fee. Participants provide their own horse, tack and supplies and are required to care for their own horse during the three day stay at camp. Their horse must remain on the fair grounds for the entire camp. Participants are allowed to camp as long as there is a parent/guardian/ or leader present between 7pm and 7am with the participants in the camping area. All 4‐H rules apply at camp along with additional rules and guidelines listed in the registration packet. EACH CLUB IS ASKED TO BRING ONE SHEET CAKE AND 2 PACKAGES OF COOKIES AT CHECK IN. 1
2015 PAUL WOLTER HORSE CAMP
INSTRUCTIONS AND GENERAL INFORMATION 1. Please read all instructions and information thoroughly. Signing the registration indicates your understanding and agreement. 2. The following forms must be returned by May 31, 2015. All general information pages are to be kept. A. Registration‐required B. Class sign‐up‐required C. Medical form‐required D. Parent volunteer form E. Negative Coggins (copy) required and supplied by participant F. Signed camping form (IF camping overnight) 3. Payment for camp must accompany packet. Please make checks payable to Ingham County Horse Committee. Checks will be cashed within two weeks of receiving them. 4. The camp groupings and arena locations schedule will be determined after registrations are received and will be distributed at check in. 5. Campers will have various skill clinics in addition to their general instruction class. Please have appropriate tack for the session you register for. 6. Breakfast, lunch and dinner will be provided on Tuesday and Wednesday for CAMPERS, ADULT AND TEEN HELPERS! Family members will need to buy a $10.00 wristband for both Tuesday and Wednesday to help cover the cost of their meals. Campers will have access to water throughout the day also. They are welcome to bring their own food and drinks, but are responsible for keeping them appropriately stored. IE we will not have refrigerators available for perishable foods. NO MEALS WILL BE PROVIDED ON THURSDAY 18th. HOWEVER, A FOOD BOOTH WILL BE AVAILABLE TO PURCHASE MEALS. 7. Campers will be responsible for getting their horses ready for classes and arriving on time. Teens and adults will be in the barns to assist the younger or less experienced campers. 8. Camp staff and instructors reserve the right to split or combine classes. They may also move a camper to another class they feel is more appropriate. 9. Campers violating camp rules or horses that are a danger to other horses, or people will be asked to leave camp. 10. Meet and Greet games on Monday afternoon from 3‐5pm. The games will be held in the south show arena. NO HORSES PLEASE!! This is a great time to get to know the other campers from other clubs and/or new 4H members and non 4H members. 11. Overnight camping is on an assigned basis. Payment and registration for camping will be done at the time of camp registration on Monday. There needs to be a parent/guardian/leader at the campsite at all times between the hours of 6pm‐7am. Participants are not to be unsupervised at any time. 2
2015 Paul Wolter Horse Camp Sponsored by the Ingham County Horse Committee June 16‐18, 2015 Ingham County Fair Grounds for more information Debbie Bingham 517‐675‐1253 (c) 517‐488‐1340 Horse Camp Registration Laura McNeil 517‐795‐7082 th
Monday June 15 12:00‐8:00pm Steve Sommer 517‐204‐2955 Tuesday June 16th 7:00am‐8:00am For stall sawdust please call Crestview Tack Steve Taylor 517‐676‐3410 Meet and Greet Pizza ‐ BYO Soft Drinks and Chairs th
Monday June 15 4:00‐6:00 Tent / Headquarters State Show Test Monday June 15th 7 PM CAMP: Tuesday June 16th, 8:15‐5:30pm (camp meeting at 8:15, classes start at 9:00am) and possible evening clinics Wednesday June 17th 9:00‐5:30 and possible evening clinics Wednesday June 17th show registration 7:00‐9:00 Wednesday June 17th 5‐8 Cloverbud camp 9:00‐5:00 (pre‐registration required) Thursday June 18th 7:00 am show registration, Thursday June 18th 9:00 am show begins. General Information and Rules:
PLEASE READ THIS INFORMATION CAREFULLY TO PREPARE FOR CAMP Violation of camp rules could result in the camper and their animal being sent home. GENERAL INFORMATION: 1. Participants must be 9 years of age by January 1, 2015 and must belong to a recognized Michigan 4H club, or if not a 4H member, must have signed a waiver. 2. If parents need to contact us in an emergency, they may contact the Fair office during normal working hours (8:00‐5:00) 517‐676‐2428. After hour’s emergencies, Camp staff Cell phone numbers are listed above. 3. If at any time a horse camp representative feels that a child is ill, a parent will be required to come to camp to attend to their child. There is a health form attached to this packet that must be filled out by a parent/guardian and returned with the registration and MUST BE SIGNED. Our camp nurse is Debbie Bingham 517‐488‐1340. 4. A negative 2015 Coggins must accompany the camp registration form. 5. A light breakfast, lunch and dinner will be served on the grounds Tuesday and Wednesday. Parents/friends need to purchase a $10.00 wristband for both days to help defray the cost of food. There will be snacks and water available throughout the day. If your child has food allergies, please indicate them on your health form. 6. Please use only wood shavings in the stalls. Sawdust is available for purchase from 3
Crestview tack. SAFETY RULES 1. Ride only your own horse. No riding double. No Riding Bareback. 2. Any Non Scheduled Camp activities after 6:00pm must be supervised by a parent/guardian. This includes, but is not limited to, bathing and grooming of horses, stall cleaning and watching clinics. Camp staff is not responsible for campers at after this time. Unsupervised campers will be asked to stop the activity and arrange supervision or a ride home. 3. Any vehicles being driven to camp MUST be parked in the open field EAST of the roadway, and left there during camp hours. (7am‐6pm) PLEASE NO DRIVING ALONG THE WEST SIDE OF THE SOUTH END SHOW ARENA DURING CAMP HOURS! (JUMPING ARENA) 4. Trailers must be parked in the lot south of the south fence line‐where they are parked at fair. Or across the road 5. Ride only in designated areas. Horses must be walked from the barns to the assigned rings. Do not get on your horse until an instructor is present in your ring and your equipment has been checked. (IE helmet, tack) 6. All horses must be bridled with a bit, when riding including gymkhana. Exceptions must be presented to the committee by a club leader. 7. All campers must wear an ASTM‐SEI approved helmet when riding. REGARDLESS OF RIDING STYLE 8. Proper western or English riding footwear (with a ½” heels) must be worn around the horses at all times. NO ONE WILL BE ALLOWED TO RIDE WITHOUT PROPER FOOTWEAR. NO OPEN TOED SHOES OR BARE FEET ALLOWED WHILE HANDLING YOUR HORSE. 9. DO NOT BRING MONEY EXCEPT for the day of the show for purchases from the lunch wagon. 10. If your horse is dangerous or unmanageable it may be sent home at the camp Committee’s discretion. 11. Horse’s exhibiting obvious signs of illness or unsoundness may require a medical Clearance from a Vet before participating in camp 12. NO HAY BAGS! TWO WATER BUCKETS must be hung on the front wall of each stall. The Buckets must be hung chest high for the horse, and must be full when leaving for the Night. 13. NO HORSES OUT AFTER 9:00 PM 14. CAMP ACTIVITY DISCONTINUED AND BARN LIGHTS OUT AT 10:00 PM. 4
CONDUCT RULES
1. Participants and Teen Volunteers may not leave the grounds from 7am to 6 pm without permission from one of the supervisors. For those camping see camping rules 2. Bicycles, skateboards, or wheeled vehicles of any kind are strictly forbidden. Campers are prohibited from driving vehicles, including golf carts on campgrounds. 3. Drugs, alcoholic beverages, and smoking materials will not be allowed. Appropriate measures, including notifying parents and/or police intervention will be taken. 4. Stalls must be cleaned at the end of camp. Any fees charged by the fairgrounds for unclean stalls will be passed on to the camper assigned to the stall. (Please notify staff if you are planning on attending the open show/achievement day 1. The staff will attempt to keep your stalls in the same barn) 5. Parents, instructor, personal trainers, and other family member are NOT TO INTERFERE with the instructors or riders during riding sessions. If there is a problem or concerns, PLEASE direct them to any member of the camp staff. Anyone interfering will be asked to leave the fair grounds. 6. The care of your animal, IE water, feed, stall cleaning, cooling down the horse) is the CAMPERS RESPONSIBILITY. If at any time, a camp representative feels that a horse maybe ill, the owner will be called and will be required to come to camp and check on the animal. If it is deemed an emergency, the emergency vet contact from the stall card will be called. 7. Friends may not visit during camp. They may attend the show on Thursday only to watch. 8. Dogs will be allowed. They must be on a leash at all times and have proof of license. Please leave loud or aggressive dogs at home. 9. Halter tops must be 3 finger width ‐ no spaghetti strap tanks. 5
ONE RIDER PER FORM 2015 Paul Wolter Horse Camp
Registration form Rider Name __________________________________________________ 4H Age (as of Jan 1, 2015)_______________________ Address _______________________________________________ City __________________________ St____________Zip___________ Parents Name ___________________________________ Home Phone ______________________ Cell _______________________ Club Name ____________________________________ County____________________________Email _________________________ Registraion and Deadlines (Check all that apply) DEADLINEMAY 31, 2015 THERE WILL BE NO LATE REGISTRATIONS ______ $75.00 a rider ($60.00/rider if 3 or more children in the same family registering) Includes a t‐shirt ______ $ 20.00 a night camping‐to be paid upon arrival at camp on Monday ______ $85.00 a rider ($75.00 plus $10.00 Non 4H members participation fee For extra tee shirts please call Laura McNeil at 517‐795‐7082 CAMP TEE SHIRT ORDER FORM
Participant’s Name ____________________________________________ YS YM YL AS AM AL AXL ENCLOSURES to be submitted with this form _______ Check Enclosed‐Amount $ _______________ _______ Health Form _______ Negative Coggins _______ Parent Volunteer Form _______ Complete Riding Package Selection Form ALL FEES ARE NON REFUNDABLE: Make Checks payable to Ingham County Horse Committee Mail forms and required enclosures to: Ingham County Horse Camp C/O Camp Committee Hilliard Building 121 E. Maple Street Mason MI 48854 PARENT/GUARDIAN SIGNATURE REQUIRED FOR YOU CHILD TO ATTEND HORSE CAMP I exempt and discharge the Ingham County 4H Horse Committee, Ingham County 4H Council, Ingham County fairgrounds and the 4H Camp volunteers from any loss, damage, or injury to my son/daughter, other, or their property including horses, while at the 2015 Paul Wolter Horse Camp Parent/Guardian Signature _____________________________________________ Date _______________________________ I agree that Horse Camp is a learning experience. I have read the information and rules, and understand my cooperation is required 4H Members Signature _________________________________________________ Date ______________________________ 6
2015 HORSE CAMP CLASS SELECTIONS
*****RIDERS NAME: _____________________________________________ STALL CARD EMERGENCY CONTACT INFORMATION OWNERS NAME _____________________ Horse’s Name __________________________ Breed __________________Age __________ Emergency Contact _______________________________ Phone: _____________________ Vet Name: _______________________________ Phone: _____________________ TYPE OF MOUNT: ____________HORSE ________________PONY
Discipline‐Select ONE only (for large group sessions)
_______English _______Gymkhana ________Western _______Jumping ______Dressage Skill Level‐Select ONE only‐Camp staff reserves the right to place you in a different group
for safety reasons. You must have mastered the previous level’s skills before moving up to the next level. st
____Walk‐Trot 1
year, (NO cantering/loping) will learn ring safety and etiquette ____Walk Trot 2nd year 1st year canter/lope. (Will learn how to lope/canter. Will only canter at camp. ____ Novice ‐Will canter/lope and concentrate on basic equitation and ring etiquette. ____ Intermediate will concentrate on higher level skills ____ Advanced will work on advanced patterns/training. 3+ years of experience at the canter OPPORTUNITY TO SELECT “CAMP BUDDIES”. PLEASE LIST ANY CAMPERS YOU WOULD LIKE TO BE PAIRED WITH. PLEASE NOTE THIS IS NOT A GUARANTEE OF PARTNERS.  _________________________________________________________________  _________________________________________________________________  _________________________________________________________________  __________________________________________________________________  __________________________________________________________________  __________________________________________________________________ 7
PARENT/GUARDIAN CONSENT AND HEALTH STATEMENT FOR MINOR MICHIGAN STATE UNIVERSITY COOPERATIVE EXTENSION SERVICE INGHAM COUNTY 4H YOUTH PROGRAMS TO BE COMPLETED BY PARENT OR GUARDIAN OF MINORS PARTICIPATING IN DESIGNATED 4H PROGRAM ACTIVITIES: 4H HORSE CAMP JUNE 16th – 18th 2015 NAME OF MINOR___________________________________________ GENDER_________BIRTHDATE_____________________ ADRESS______________________________________________________________________________________________________________ PHONE # (HOME) _________________________________WORK#____________________________CELL#____________________ PARENT OR GUARDIAN NAME___________________________________________________________________________________ ADDRESS IF DIFFERENT THAN CHILD’S: ______________________________________________________________________ NAME AND PHONE OF EMERGENCY CONTACT OTHER THAN PARENT __________________________________ CELL PHONE # ____________________________________ HOME #_______________________________________________ NAME AND PHONE NUMBER OF CHILD’S PHYSICIAN_________________________________________________________ SPECIAL HEALTH CONSIDERATIONS: (use additional pages if necessary) If there are any questions about the health of a minor, a complete health exam should be obtained by your physician. 1. Allergies and other reactions to medications or foods ___________________________________________________ ________________________________________________________________________________________________________________________ 2. Special medical or dietary needs ___________________________________________________________________________ 3. Any activity restrictions ____________________________________________________________________________________ 4. Current medications: Name of medication, reason for use, prescribed administration: ______________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ **** ALL MEDICATIONS MUST BE IN ORIGINAL CONTAINER AND GIVEN TO THE CAMP NURSE AT REGISTRATION******** Does the camp staff have permission to administer TYLENOL to your child if needed? YES NO Insurance information HOSPITAL ____________ MEDICAL________ check one or both COMPANY NAME: ________________________________ SUBSCRIBER NAME__________________________ POLICY NUMBER: _______________________________ PHONE _________________________________________ I give my consent and approval for the above named minor to participate in the above actives. I have indicated all special health considerations on this form. I will assume responsibility for any necessary medical expenses for the above named minor. I understand the nature of the act ivies and risks involved and I will not hold chaperones, leaders or the 4H office of the Cooperative Extension Service responsible of any injuries sustained by said member while participating in the activities. I/We give permission as a parent/guardian for medical treatment to be given to the aforementioned minor in an emergency, with the following listed exceptions. (IE blood transfusion, surgery) _____________________________________________________________________________________________________ DATE ____________________ PARENT/GUARDIAN SIGNATURE__________________________________ 8