Camp Style Run Registration - Nebraska 4-H

NE State 4-H Camp 5K Camp Style Run
May 9th, 2015
Nebraska National Forest
Come for an enjoyable, 5K run through the scenic Sandhills of Nebraska, Camp Style. Enjoy the beautiful scenery of the
Nebraska National Forest as you start with a trip down the Zip line, over the hills and through the valleys. This camp run
will test you to see if you can cover the hills and trails like the campers do.
SCHEDULE OF EVENTS
Individual / Team Triathlon
8:00 am
Registration, Refreshments will be offered
9:00 am
Run starts – Water will be offered throughout the run.
11:00 am
Awards given out down in the NE National Forest Park
Refreshments offered – Run includes a trip down the 400 ft. zip line.
12:00 pm
Optional lunch and a trip across the high wires
General Information
The run will start at the Nebraska State 4-H Camp. The Camp is located in the Nebraska National Forest in Halsey, NE. Location of the Forest is 1
½ miles west of Halsey and 12 miles east of Thedford, NE on Hwy 2. Signs will be put out at the entrance of the Forest. The designated area for
parking will be marked as you arrive. Nebraska State 4-H Camp is not responsible for lost or stolen items.
Event Information
Course: Runners will register at the main lodge. Runners will run the trail from the Scott Lookout Tower
down to the park at the NE National Forest Park. Runners will have hills, grassy and sandy terrain to cover.
Trails will be marked and water will be offered throughout the run.
Run includes a ride down the 400 ft zip line after race.
Placement medals and prizes will be given out to the first three runners.
All runners will be receive finishing medal.
Registration will be in the main dining room in the Epply Lodge starting at 8:00 am. Everyone will receive a T-shirt and course map.
Help and Refreshments will be available along course. Participants seventeen and under will need a parent or guardian signature.
After the awards are handed the camp will be offering an optional lunch and a trip across the high wires at 1pm.
Proceeds will provide camperships to aid campers’ with registration fees so they can come and enjoy a summer of making memories.
May 9th, 2015, Saturday
Providing youth and families opportunities to experience the Nebraska Sandhills.
For registration: [email protected], 4h.unl.edu/4hcamps/state4hcamp,
Like us on Facebook, call 308-533-2224 – Online registration with active.com
Please Print Registration Form(s) and Mail to:
Nebraska State 4-H Camp, 83222 4-H Camp Rd, Halsey, NE 69142
2015 – 5K Camp Style Run - REGISTRATION FORM
YES! I/we will participate in the 2015 NE State 4-H Camp - Camp Style 5K Run to help raise money for camper scholarships.
Please copy this registration form as needed.
Name:______________________________________________
Phone: _________________________________
Address: ____________________________________________
City, State, Zip: ______________________________________
Signature:________________________________
Please sign me up for:
TOTAL AMOUNT
First & Last Name
_______________
_____________
____________________
_______________________
________________________________
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$30
_____
$30
______
$35.00
______
$35.00
________________________________
Registrations after April 26th. Shirts will be mail to participants.
First & Last Names
_______________
_____________
____________________
_______________________
________________________________
____________________
________________________________
Saturday Lunch (optional)
@ $7.50
High wires following lunch (optional)
@ $8.00
T-shirt size: Individual________, Individual_________, Individual_________.
$
We gladly accept Checks or Credit Cards
GRAND TOTAL
Check ______
Visa ___ MC___ Card Number ________ ________ ________ ________,
Exp Date: ________
SORRY, NO REFUNDS
Signed waiver needs to be mail or handed in that day before participating in race. Website 4h.unl.edu/4hcamps/state4hcamp for a registration form and waiver
Emergency Contact’s:
Name
Relationship
Contact number
______________________________
__________________________________
_________________________________
______________________________
__________________________________
_________________________________
______________________________
__________________________________
_________________________________
______________________________
__________________________________
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Questions/Comments about campsite: Connie Cox, (308) 533-2224, [email protected], Register online with active.com/campstyle5Krun
Like us on Facebook: Nebraska State 4-H Camp or visit our website 4h.unl.edu/4hcamps/state4hcamp for a registration form and waiver.