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Utah State University Extension Cache County 4-H
179 North Main, Suite 111
Logan UT 84321
(435) 752-6263 / Fax (435) 755-1982
Cache County 4-H Western/English Horse Camp
2015 Camp Chairman: Barbara Bedingfield 435-757-4208
4-H Agent: Scott Williams 435-752-6263
It is time to sign-up for English Horse Camp 2015! Please read through this information sheet thoroughly and in
its entirety. Included with this letter you will find your Application for Horse Camp, Horse Camp Rules and
Regulations, and a Code of Conduct-Member Agreement-Parent/Guardian Agreement Form. Please fill the online
registration at http://ut.4honline.com If you are not able to use the online registration then use the paper forms
complete with signatures in the appropriate areas or use
Dates: The dates for camp are Tuesday through Thursday, June 9th, 10th, and 11th. Stall set-up and assignment is
Tuesday, June 9th promptly at 7:00 am. The last day of camp, Thursday, June 11th, the campers will participate in an
English Schooling Horse Show. A final schedule will be sent out after registration to confirm the schedule.
Theme: This camp is for those who want to practice English Riding. Meals at camp will be potluck-style for lunch and
dinner, with 4-H supplying the “meat”. Breakfast will be continental-style provided by 4-H. Snacks and beverages will
also be provided. Potluck assignments for desserts and side dishes will be mailed out in the camp confirmation letter.
Volunteers are invited to eat meals with the campers. Families are invited to camp out in designated areas. If a
family does not have camping accommodations for sleeping, a fairground building will be available for sleeping.
Showers are available.
Eligibility: To attend 4-H Horse Camp, youth must be in their second year in Horse 4-H (or longer) plus have
successfully passed off Tenderfoot Ranks I and II. (These ranks need to be signed off by your 4-H club leader) Youth
who are in their first year of Horse 4-H will be able to attend First Step camp on June 22, 2015.
Fees & Requirements: The price for Horse Camp is $65 per camper if paid by April 17th, and $80 if paid after April
17th, and by May 1st. There is an additional separate fee of $75 that may be refunded if certain criteria regarding stall
set up, take down and volunteer positions are met. NO LATE APPLICATIONS WILL BE ACCEPTED AFTER MAY
1st. All campers will be required to supply parent or adult volunteer(s). A sign-up sheet for volunteer positions will be
mailed with your camp confirmation letter after all applications are turned in.
T-shirts: Each camper will receive a free t-shirt. If you want an extra t-shirt for your camper for another family
member, please order it on the Horse Camp Application. Extra t-shirts are $15 each, and must be paid for with the
returned Horse Camp Application form. (Shirt fee can be added to the $60 camp fee on the same check.)
Horses: All horses must be immunized to attend camp, worming and resetting of shoes or trimming within 4 weeks
of camp. All horses will be inspected at camp registration before being allowed in their stalls. Horses showing signs
of sickness, distress, or not properly cared for (this includes trimming or shoeing) will not be allowed to
participate in camp.
Equipment: An equipment list for the classes will be included in your camp confirmation letter. English tack is
preferred, but Western tack will be accepted, but rider will be limited to ground poles.
Forms: Please return the following to the 4-H office by 5:00 pm on April 17th or through 4-H online.com. (A late fee of
$15 will be charged if received after April 17th. (NO registrations will be accepted after May 1st.)
• Completed and signed Horse Camp Application
• Signed Horse Camp Rules & Regulations Declaration
• Check for English Horse Camp and Extra T-shirts
• Separate $75 Check for Stall Set Up/Take Down and Volunteer Positions (may be refunded if stall and volunteer
criteria is met)
Please double-check your forms. If any of the above items are missing or incomplete, they will be returned!
Forms turned in after May 1st will not be accepted.
If you have any questions, feel free to call Barbara Bedingfield 435-757-4208
APPLICATION FOR ENGLISH HORSE CAMP – 2015
Camp dates: June 9th – 11th 2015
please fill out one form per camper
Eligibility: Second year or more in Horse 4-H plus have successfully passed both sections I and II of the Tenderfoot Ranks
Due Date: Completed applications must be received at the Cache County 4-H Office, 179 N. Main, Logan, UT 84321
by April 17th, 2015. Incomplete applications will be returned. Applications returned after April 17th but before May 1st,
will be charged a $15 late fee. Applications received after May 1st may not be accepted.
Camp Fee: $65 due with your registration. PLUS A separate check for $75 for Stall Deposit, refunded after camp.
Camper Information
Name: _______________________________ Age: ______ School grade in 2014/15_________ Home phone: _____________
Address: ____________________________________________ City: _____________________ Zip Code: ________________
Camper Email:____________________________________Parent Email:___________________________________________
Parent(s)/Guardian name(s): ____________________________ Work phone: ______________ Cell phone: _______________
Physician’s name _____________________________________ Physician’s phone number_____________________________
Special medical needs such as allergies, medications, etc.: ______________________________________________________
Can camp leaders give over-the-counter medicine such as Tylenol, Benadryl, etc.? Circle one: YES
NO
Parent/ Guardian Signature of medical release: ________________________________________________________________________
4-H Club: _____________________________Club Leader’s Name___________________ Years in 4-H Horse Project: ______
Will the camper be spending the night at camp? Circle one: YES NO If the camper is not spending the night, the camper must
notify Barbara when they leave.
Riding level: Circle one:
*GROUND POLES
18 INCHES
2 FEET
2 FEET 6 INCHES
*Note: If riding Western, please circle ground poles only.
Camper’s Shirt is free. Check size below. Additional shirts can be ordered for $20.00 each.
_____youth med _____youth lrg _____adult small _____adult med _____adult lrg _____adult XL _____2X/3X (additional $2)
Horse Information
Horse’s name: ______________________________________ Age: ________ Mare or gelding? _______________________
Special needs or concerns (ex: butte for arthritis, allergies, etc.)___________________________________________________
All horses must be immunized to attend camp, worming and resetting of shoes or trimming within 4 weeks of camp. All horses
will be inspected at camp registration before being allowed in their stalls. Horses showing signs of sickness, distress, or not
properly cared for (this includes trimming or shoeing) will not be allowed to participate in camp. A signature is required that we
have the right to deliver medical attention if needed including euthanasia per vet recommendation if the owner cannot be
reached. Horse Owner’s Signature: ________________________________________________________
Leader Certification (Scott Williams to verify)
I certify that _____________________________ is currently enrolled in 4-H, has passed the riding and knowledge portions of both sections of
the Tenderfoot Rank and can walk, trot and canter their horse with confidence. This 4-Her has attended at least 2 local club meetings and also
indicates a continuing interest in participating in the 4-H Horse Program. (Leaders will be responsible for filling out horse inspection checklist
that will be sent to them at a date prior to camp.)
4-H Leader’s Signature: _____________________________________________________
Date: ______________________
4-H Camper/ Parent Certification
The undersigned hereby understands and acknowledges that _______________________________ will be attending the Cache County 4-H
Horse Camp at the Cache County Fairgrounds at their own risk and accepts the fact that horses are unpredictable animals and injury may
occur, and is using the premises at their own risk and does hereby release, discharge, waive and exonerate the Cache County 4-H, and the
County of Cache from all rights of action, either legal or equitable, which the undersigned, their heirs, executors, administrators, successors or
assigns may have by reason of any action of the said 4-H clubs, city and county.
4-H Member’s Signature: ______________________________________________________
Date: ______________________
Parent or Guardian’s Signature: _________________________________________________
Date: _____________________
4-H English Horse Camp 2015 Rules & Regulations

All Campers must wear riding boots with heels while riding.

Long pants, jeans, or britches for riding- no shorts for riding.

All campers are asked to stay at camp at all times.

If for any reason a camper needs to leave, they must sign a release and give to Barbara

Campers found to have left camp without permission will not be allowed back to camp.

Campers are not allowed to drive while at camp.

Appropriate clothing is to be worn at all times. Suggestive or revealing clothing is not allowed.

Cell phone will be allowed, but you can only use cell phones (this includes text message) at appropriate times. No cell
phones during instructional time or when activities are being conducted. Cell phones will be confiscated and returned at
the end of camp if you are using them at these times. Please use this privilege wisely! If you need to contact your child
you may call the chairperson Barbara Bedingfield 435-757-4208.

Campers agree to be respectful of fellow campers, instructors, leaders, their horses, and property! No DRAMA please.

Campers are asked to be open-minded and participate in all activities presented at camp.

Safety always comes first! SEI Helmets are required at all times while on horseback for all classes.

All Bio Safety 4H rules will be followed.

All Campers will need to have a volunteer donate time at Camp. Plan on two – two hour shifts. A schedule will be sent
after your registration is received and slots will be filled on a first come basis. (Accommodation can be made by
contacting Barbara Bedingfield)
I have read the Rules & Regulations for Horse Camp and agree to abide by these expectations.
Camper’s Signature: _________________________________________________________
Date: ___________________
As the parent/guardian of ____________________________________, I have read the Rules and Regulations and will support
the individual(s) in charge in enforcement of these rules.
Parent or Guardian’s Signature: _________________________________________________
Date: ___________________