2015 4-H Teen Conference June 28 – July 1, 2015 Who Should Attend? Everyone! 4-H’ers and non 4-H’ers are welcome. All teens will have a wonderful opportunity to connect with others in a positive and meaningful way. Many youth continue to come year after year because it is such a worthwhile experience. Leadership skills are learned and improved and friendships renewed. This is a safe place for ALL teens to have good clean fun! REGISTER TODAY Fill out the paper form and mail it to your County Office. For more information on scholarship availability and eligibility, contact your county office. For more information visit: http://extension.unh.edu/NH-4-H-Teen-Conference Do You Want To: Meet New Friends? Have Some Fun While Learning Something New? Develop Leadership Skills? Then… Join other teens from across New Hampshire and neighboring states at the University of New Hampshire for the 37th Annual Teen Conference. The conference is open to all teens completing the 8th grade (or age 14 by 6/28/15) up through 12th grade. Each Day is packed with fun educational activities and social time. Stay at the UNH dorms and bring a sleeping bag or bedding, casual clothes, dress clothes for the banquet and money for snacks. Cost: $250 for NH 4-H Members and NH Residents ($270 for out-of-state registrants). Registration fee covers the entire 4 days. Room, Meals, Activities and T-Shirt are included (some workshops carry an additional fee). 4-H Members - check with your local 4-H Office for Possible Scholarships University of New Hampshire Cooperative Extension is an equal opportunity educator and employer. University of New Hampshire, U.S. Department of Agriculture and N.H. counties cooperating. (All forms and payment must be sent to your County Extension Office by county deadline) Name___________________________ M/F_____ Age_____ Mailing Address____________________________________ Town/City______________State______ Zip Code_________ Phone_________________County___________Grade_____ Birth Date_______________ 4-H Member?____Yes____No High School ________________Delegate Cell Phone # ________ Name you would like on your Nametag:___________________ E-mail Address____________________________________ Roommate Request_________________________________ Monday you will participate in 2 half-day workshops. Please rank top 5 choices with 1 being your first choice. Some may be subject to cancellation due to low enrollment. Please rank top 5 choices for each workshop session, 1 being your first choice. Some may be subject to cancellation due to low enrollment. ____ Agricultural Entrepreneurs ____ One Circle, 1000 Stories ____ Car Care 101 ____ Power of Understanding People ____ CSI: Durham ____ Robotics – SeaPerch ____ Dumplings of the World ____ Self Defense ____ Exploring the Cows Rumen ____ Therapeutic Dog Grooming ____ How to Get Accepted to College ____ Ukranian Culture: Past & Present ____ Ink it Up! ____ Wilderness Survival ____ Italy in a Day ____ Wheelchair Sports & Games ____ Music Therapy: Career of the Future ____ X Marks the Spot ____ Myhre Equine Clinic Tour (no guarantees, 2 ppl per room, request must be made by both parties) Special Accommodations Needed?_____________________ ____________________________________________________________ For persons with disabilities requiring special accommodations, please contact Michele King at 603-862-2199 within 15 days so proper consideration may be given to the request. Dietary Restrictions: ___Gluten Free ___ Lactose Free Other: _______________________________________ Vegetarian? YES/NO T-Shirt XS S M L XL XXL (circle one, no charge for short sleeved shirt) XXXL Long-sleeved t-shirt S M L XL Other___ ($20 Additional, delegate will get both short-sleeved & longsleeved shirt) Parking Pass Photo Order ____ $24 ($8 Per Day) FREE County Photo (4X6) ____ $10 Conference Photo (8X10) Conference Fee: NH Resident or NH 4-H Members $250 Out-of-State Registration $270 Payment: Conference Fee: $_______ Long-sleeved t-shirt $_______ Photo Orders: $_______ Parking Pass $_______ Less County Scholarship $_______ TOTAL COST: $_______ ____ Be Paul Bunyan! ____ Comedy Improv ____ Country Line Dancing ____ Decadent Delights ____ Electric Motors in Motion ____ Field Hockey ____ Fly Fishing ____ I Sing the Body Electric ____ Kayaking/Paddle Boarding ____ Leather Craft* ____ Not Just Horsin’ Around ____ Photography ____ Soccer ____ Tennis ____ Theatrical Makeup ____ Ultimate Frisbee ____ USS Albacore Submarine Tour ____ Zumba Tuesday Workshop Preference – Tuesday you will participate in 1 full day workshop. Please rank top 5 choices with 1 being your first choice. Some may be subject to cancellation due to low enrollment. ____ Attitash Resort Alpine Slide* ____ Loon Mtn Aerial Forest* ____ River Paddling Sports ____ Shooting Sports ____ Flume Gorge/Cannon Mountain ____ Whale Watching No Refunds will be issued after June 1 No Substitutions. *Indicates that workshop has an additional fee. See workshop description for details. Additional fees will be billed after workshops have been assigned (early June) Leadership Opportunities - Check with your county office about selection process for Teen Council and County Delegation Leader positions. Sandwich Type for Friday Workshops (check one): ___ Moe’s Original Italian ___Turkey ___Ham & Cheese ___Vegetarian See County Letter for Mailing Address and Deadlines University of New Hampshire Cooperative Extension is an equal opportunity educator and employer. University of New Hampshire, U.S. Department of Agriculture and N.H. 2015 Conference Schedule Tentative Sunday, June 28 10-11 am 11:15-12:00 12:15 12:30-2:00 2:15 - 2:45 3:00 - 5:30 5:30-6:45 6:55 7:00-10:00 10:00 11:00 Arrival and Registration Floor Meeting/Lunch Meet to walk to Orientation Orientation and Opening Ceremony & Conf. Photo, Johnson Theatre Ice Breakers Community Impact Projects Pizza Party with Free Time & Games at Dorm (optional: games in the lounge volleyball/basketball outside) Walk to MUB Opening Night International Dance/Activities Return to Dorms Quiet Time Tuesday, June 30 7:00-7:30 am 7:30-8:30 8:45-9:15 9:15 9:30-3:30 3:45 – 5:45 5:45 6:00 – 8:00 8:00-11:00 11:15 12:00 1:00 AM Monday, June 29 6:30-7:15 7:15-8:00 am 8:15-8:30 8:30 9:00 - 11:30 11:30– 1:00 1:10 1:30 - 4:00 4:15 5:00-6:00 6:30-8:30 8:45 8:45 11:30 The Fitness Fun (optional) Breakfast Morning Assembly Gather for Departure Morning (½ Day) Destinations Lunch Meet at Dorm for PM Destinations Afternoon (½ Day) Destinations Group Photos at Wildcat Dinner at Holloway Commons Swim & Sport at Indoor Pool and Hamel Rec Center Ice Cream Social at Dorm Social Time & Activities at Dorm Quiet Time Fitness Fun (optional) Breakfast Morning Assembly Leave for Excursions Full-day Adventures Free time to get ready for Banquet Walk to MUB for Banquet Banquet & Entertainment Dance Candlelight Ceremony Social Time Quiet Time Wednesday, July 1 7:30-8:30 am 8:45-9:30 9:45-10:15 10:15 10:30 12 noon Breakfast Pack for Check-out Check-Out Assemble to walk to Closing Closing Ceremony Departure Community Impact Project this year will be BIG! ItemstoBringtoConference o BoxedorCannedGoods‐Bringboxedorcannedgoodstodonatetothelocalfoodpantry o CoatsforKids‐Bringclean,goodqualityusedcoatstodonatesoallkidscanbewarmnextwinter ActivitiestoDoatConference With a new council comes new ways to serve. This year be prepared to do something we have never done before to have a positive impact on your community. Revised 3/12/15 2015 NH 4-H Teen Conference June 28 – July 1, 2015 University of New Hampshire, Durham Monday Morning (Half-Day) Destinations Agricultural Entrepreneurs How to Get Accepted at the College of Your Choice Explore some local farms in the seacoast area and learn how farmers are using entrepreneurial techniques to be successful. You will visit the UNH Organic Dairy Farm with its cutting-edge research into integrated agroecosystem which includes all biological, physical and human related components. Research priorities are relevant to both organic and conventional farm operations. Next you will visit Velvet Pastures Elk Farm to learn about raising a non-traditional farm animal. If you dream of owning your own farm one day, this workshop is for you. Presented by UNH, UNH Manchester & UNH Thompson School Car Care 101 Presented by Ali Bowen, Great Bay Charter School Presented by Jim Caverly, Rockingham County Volunteer Today’s cars are very complicated, but there are still some simple things you can do to be sure your car stays running well for a long time. Learn how to check and fill the important fluids in your car. Save $$ on basic maintenance like the air filter and windshield wipers. Learn how to change a tire and what you need to do to stay safe while working on your car. It’s not too early to be thinking about college! During this fun and interactive session, you will learn about the process of selecting a college, get tips on completing your college application, and participate in team activities. Find out from those “in-the-know” what it takes to get noticed. Representatives from UNH Durham, UNH Manchester, and the UNH Thompson School of Applied Science will be on hand to help you get the big picture. Ink it Up! Have you ever wanted to write a book, but don’t know how to start? How do you get those words on the page? Where do the ideas come from? This workshop will help you generate story ideas, learn about writing styles and how to work with others in the writing process. Put your imagination to good use in this practical and stimulating workshop. If you are passionate about creative writing, this is a workshop you can’t miss! Italy in a Day CSI: Durham Presented by Marianne Hromis, Merrimack County 4-H Volunteer Presented by Tom Fenton & Ben Steward, UNH Graduate Students You have just stumbled upon a crime scene and need to determine the cause of death. Sketch the crime scene firsthand using techniques real investigators use. Analyze blood splatter using comparative techniques to determine the origin. An unknown powder is found at the scene and use spectroscopic techniques to determine its identity. With these materials combined, determine the crime and save the day! Ever wanted to experience Italy? What would you need to know to spend time there? This workshop will give you some basic phrases helpful when you are traveling so you can get around, order food and shop. You will also learn some common greetings. Finish the day at a mock Italian restaurant in Florence on the river, where you will practice ordering food and making simple conversation. You will bring home a booklet full of the phrases you have learned so you won’t forget your day in Italy. Dumplings of the World Presented by Julienne Guyette, CCC with UNH Thompson School Throughout the world, dumplings show up as delicious representative tokens of cultures. Prepare and taste an assortment of worldly parcels from Asia, Europe and America. Don’t dis’ the dumpling, it is a favorite of many cultures. Exploring the Cows Rumen Presented by Nancy Whitehouse, Research Scientist, UNH Agricultural Experiment Station, Dairy Nutrition Research Center If you have an interest in cows you won’t want to miss this workshop. Start with a tour of the UNH Fairchild Dairy Teaching and Research Center. Then each participant will get to place their gloved arm inside one of our rumen cannulated cows. A sample of her rumen contents will be removed by each person and the rumen samples will be compared to what the cow was fed. What did she eat? Some of the rumen fluid will be placed on a microscope slide to be examined. What is living inside her rumen and why? Revised 3/11/15 Music Therapy: A Career of the Future Presented by Cacia King, Music Therapist, MT-BCE Love music? Want to make a difference in your community? Music therapy just might be the perfect career for you. Whether working with elderly dementia patients, autistic children, or wounded soldiers, music therapy has an astounding ability to heal and restore function. Learn about this exciting career and join in an inspiring drum circle. Myhre Equine Clinic Tour If you like horses, don’t miss the opportunity to tour one of the most progressive equine clinics in New England. This state-of-the-art facility features superior technological imaging, surgical, medical, and rehabilitation veterinary services. Take advantage of this one of a kind opportunity. Monday Morning (Half-Day) Destinations (cont’d) One Circle, 1000 Stories Therapeutic Dog Grooming Presented by the Mt. Kearsarge Indian Museum Presented by Allison Powers, UNH Thompson School Come on an amazing journey encompassing the amazing diversity of North American Indian Cultures and their reverence for nature. You will learn about their weaving, pottery, clothing, music and traditions.. Come experience the rich history of this fascinating culture. Everyone who loves dogs knows they need our care as well as our love. This class will enhance your knowledge of skin and hair coat care for dogs. You will learn about normal and some common abnormal fundamentals of skin, nails, and hair as well as the topical therapy and management. Students will be assessing dogs with their new knowledge and grooming them according to how their skin and hair presents. The Power of Understanding People Presented by Deborah Cheever, UNHCE Merrimack County In this upbeat comprehensive workshop you will use the personality assessment from the book The Power of Understanding People to discover which traits are most prominent in you to unlock your true potential. Join in with others as you discover and learn to better understand your personality strengths and how your strengths influence group dynamics in this fun interactive presentation. Then learn what movie character you are most like! Participants will also be able to use their personal strengths information in thinking about future careers. Robotics – Operation SeaPerch Presented by Claes Thelemarck, UNHCE Carroll County Spend your morning modifying a SeaPearch underwater Robot to do a specific mission! Then visit the UNH Chase Ocean Engineering Lab where you will get to try out the SeaPerch Robot you have modified to perform a task that you have programmed it to do. Then bring this cool project idea back to your county and start the SeaPerch project with your club! Self Defense Presented by Cindy Naiditch, 4th Degree Black Belt Use your adrenaline to help you when you need it most. Any person regardless of age or fitness level can learn. Participants will learn how to escape from various grabs (wrists, hair, bear hugs, etc). Also, learn what to do if you end up on the ground. Learn to be aware of dangerous situations, make good choices, and use effective reasoning under stress. Dress comfortably! Ukrainian Culture - Past and Present Presented by Christina Vogel, Rockingham County 4-H Volunteer Come explore the rich history of the Ukraine. Learn about their unique alphabet, music, art and food. You will have an opportunity to sample the food, design a Pysanky egg, learn some Ukrainian phrases so you can impress your friends with your international knowledge. Wilderness Survival Presented by Doug Vogel, Rockingham County 4-H Volunteer If you were stranded in the wilderness would you survive? This workshop will teach you basic survival skills including how to build a fire, how to construct a shelter from the resources around you, and various other wilderness survival tips and tricks. Wheelchair Sports & Games Presented by Chandler Bullard, Northeast Passage Have you ever wondered how challenging life is for people with physical disabilities? Similarity Awareness allows students of all ages to see that disabilities are an important part of our society and should be embraced and understood. In this workshop you will use sport wheelchairs and accessories to play a variety of indoor wheelchair sports/ games. This experience teaches nondisabled students that although using a wheelchair while playing a sport takes skill and practice, it’s also challenging, athletic, and fun. X Marks the Spot Presented by Rick Alleva, Rockingham County 4-H Staff Aye matey, have ya’ ever read a treasure map and tried to follow it to the pirates’ loot? In this workshop you will be hiding your treasure and creating a map. Then you will swap maps with the other treasure hunters to go find their loot. Peg legs and eye patches not provided. Revised 3/11/15 Monday Afternoon (Half-Day) Destinations I Sing the Body Electric Be Paul Bunyan for a Day Presented by Matt Chagnon and Don Quigley, UNH Thompson School How fast can you...maneuver logs with a peavey; cut wood using bow saws or crosscut saws; throw an axe, or roll a log? Have some fun working individually and in teams as you challenge yourself using forestry skills and tools. Comedy Improv Presented by Ethan Craggy, Teen Council Alum & 4-H Volunteer Learn some fun games and creative activities that will help you improve your improvisational skills as we explore the techniques and enjoy the comedy that improv has to offer. Presented by Morgan King, Teen Council Alum & UNH Student As a singer your body is your instrument, so it makes sense that how you stand, the way you hold your head, and even the tension in your shoulders can affect the sound of your voice. In this workshop we will explore some vocal techniques and discover the concepts of body mapping. We’ll finish the session with a song. Kayaking/Paddle boarding Presented by Carey Rhodes, UNH Outdoor Adventure Club Spend a relaxing afternoon at UNH’s Mendums Pond learning the basic skills of kayaking and paddle boarding and exploring some of the waters of the pond. Don’t forget your bathing suit! Leather Craft Country Line Dancing Presented by Brenda Barthelemy, Rockingham County Volunteer Presented by Gail Eaton, On the Dance Floor Dance Lessons Visit the Tack Shack at Brookvale Pines Farm and learn how to use leatherworking equipment to make a woven leather dog leash or belt. This workshop does not have a fee for the first item; however if you wish to make a second item, it may be purchased during the workshop for an additional fee. If you want to get out on the dance floor and move, then this is the workshop for you. Learn a variety of country line dances to artists like: Sugarland; Brooks & Dunn; Taylor Swift and Little Big Town. Not Just Horsin’ Around! Decadent Delights Presented by Judy Cogger & Lucy Rhodes, Rockingham Cty Volunteers Participants will learn to make a variety of chocolate candies including molded chocolates, scrumptious truffles and yummy peanut butter cups. You will understand the types of chocolate used for various projects, how to properly melt chocolate, how to make filling, tools needed, and each participant will go home with candy! Electric Motors in Motion Presented by Joe Drake, UNHCE Rockingham County Staff Work as a team to build a motorized battery operated car in this fun, interactive session. You will learn about circuits and use the engineering design process to create a working electric car. Field Hockey Presented by Caroline Keen, Pembroke Academy Have you ever wanted to try field hockey? In this workshop you will do some fun drills like knock out or steal the bacon and then play a game. Fly Fishing Presented by Rick Hutchins, Three Rivers Stocking Association Put on your rubber pants* and get ready to go fly fishing! This instructional workshop will teach you all the basics you need to know about fly fishing equipment and casting technique. After you learn the basics, you will have a chance to test your skills on the water.*Rubber pants not included or necessary Revised 3/11/15 Presented by Mary Davis, UNHCE State 4-H Office This hands-on interactive workshop will present a variety of interesting opportunities for the more advanced 4-H horse youth on the topic of Equine Science and Management. Youth interested should have an equine background and be prepared for a more advanced, focused workshop on horses. Participants will learn about anatomy, nutrition, equipment and diseases through hippology stations, discussion, and team problems. Photography Presented by Joel Jaffe, Hillsborough County Volunteer Come learn how to use your camera, whether it is a 35mm or a smart phone. Spend some time taking photos and learning some techniques for editing them. Bring your camera and get ready to be creative! Soccer Presented by Eliza Kibbe, 4-H Volunteer Get warmed up and ready to run! In this active workshop, you’ll learn some basic drills like dribbling and passing, then pick teams and play a scrimmage game. Tennis Presented by Sarah Proctor, Rockingham County 4-H Volunteer Whether you are a tennis pro or a beginner, you will enjoy this workshop. Beginners will learn basic strokes, scoring and spend time rallying the ball. More advanced players will get a chance to hone their skills by taking part in a round-robin tennis tournament. A great way to get out and enjoy the sun! Monday Afternoon (Half-Day) Destinations (Cont’d) Theatrical Makeup USS Albacore Submarine Tour Presented by Maggie Molloy, Teen Conference Alum Tour the experimental submarine U.S.S. Albacore. You will take a walk through what was once the world’s fastest submarine and feel what it was like to live underwater for weeks at a time. Built right here in Portsmouth NH this sub was used to develop many of the systems that have helped our Navy to be the best in the world. Do you want to learn how to do your makeup like a movie star? Learn various types of theatrical makeup for different types of plays, character tropes, and stage sizes. You will also Learn some special FX makeup and get a chance to try on a look of your choice! Zumba Presented by Kathy Kerrigan Ultimate Frisbee Presented by Peter Attisano, Teen Council Alum and Strafford County Volunteer What is it? Why, it’s Ultimate Frisbee of course! Come and learn the rules of this high-energy game and spend some time trying out your moves. This is a grueling game, not recommended for couch potatoes! An exhilarating session of easy to follow, calorie burning cardio dance moves set to hypnotic Latin rhythms such as salsa, cumbia, merengue, and flamenco. No dance experience or coordination required. Class is open to all fitness levels. Join the fitness phenomenon that has swept the nation! www.zumba.com. Check it out Tuesday Excursions Your Passport to NH’s Adventures! Attitash Resort Alpine Slide* Spend the day enjoying the beautiful White Mountains of New Hampshire. Attitash mountain activities include the Mountain Coaster, slacklines, airbag jump, waterslide, EuroBungy Trampoline, climbing wall, and Alpine Slide. Come to this workshop ready to test your physical and mental abilities. *This workshop has an additional fee of $15 per person. Minimum 25 people. River Paddling Sports Spend the day on the water paddling up a lazy river with your friends. You will have a chance to try canoeing, kayaking, and stand-up paddle boarding. Then relax with your friends on the beach while you enjoy a picnic lunch. Minimum 20 people. Loon Mountain Aerial Forest Adventure* Challenge yourself high in the trees as you move from platform to platform via bridges, zip lines, and other challenges. And you thought Loon Mountain only offered skiing! This adrenaline filled workshop will excite your senses. *This workshop has an additional fee of $25 per person. Minimum 25 people. Shooting Sports Presented by Larry Barker, UNHCE Coos County and the Staff of Major Waldron Sportsmen’s Association, Barrington, NH Ready, Aim, Fire! Travel to a local shooting range for a day of sampling the terrific 4-H shooting sports curriculum activities. Hands-on? You bet! You’ll have a chance to try shotgun, archery, pistol, rifle, and muzzle loader. There will be something for everyone from the beginner to the expert. Join us for a day of fun and learn something along the way. Flume Gorge/Cannon Mountain Aerial Tram Explore some beautiful New Hampshire scenery in this adventurous workshop. Follow the Flume Gorge through a natural wonder including waterfalls, rock structures, and more! Walk through one of the oldest covered bridges in New Hampshire and observe all aspects of nature on spectacular Mount Liberty and Mount Flume. Finish the day with a ride on the Cannon Mountain Aerial Tram Way and take a walk to fire tower where you can see the mountain tops of four states and Canada! Minimum 15 people. . Revised 3/11/15 Whale Watching Spend the day with Granite State Whale Watch. Experience a day watching finbacks, blue whales and other migrating whales come back to the waters of NH for the summer. Enjoy relaxing on the tour, soaking up the sun and getting a chance to be on the water for the day. Be sure to dress for all kinds of weather - sweatshirt, jacket and pants are a good idea for cool winds off the ocean this time of year. Don’t forget your sunscreen! Minimum 15 people University of New Hampshire Cooperative Extension is an equal opportunity educator and employer. University of New Hampshire, U.S. Department of Agriculture and N.H. counties cooperating. 4-H Activity Youth Permission and Release Form for Participation in a 4-H Activity of UNH Cooperative Extension (Name)______________________________will be participating in NH 4-H Teen Conference __June 28- July 1, 2015 Name of Event Date Description of this activity and transportation methods are as follows: Teen Conference and associated workshops and activities on and off the campus of the University of New Hampshire. Transportation to and from UNH is the responsibility of the participant. Transportation to and from off-campus workshops is provided by charter bus and/or rented vans. We give permission for the above named youth to participate. We understand the responsibilities, hazards, and dangers inherent in participation of this activity, including the transportation. We understand the Code of Conduct. We hold harmless the University of New Hampshire, its trustees, officers, agents, employees, and volunteers from and against all claims, demands, actions, and causes of action for damages which may be sustained by the above named youth or anyone else. This includes personal injury, death or property damage, whether or not the result of negligent acts or omissions on the part of the University of New Hampshire. If the above named youth’s participation in the activity causes damage to the property of UNH Cooperative Extension, we agree to pay the University for such loss. 4-H event participants may be photographed and videotaped for use in 4-H promotional and educational materials. I authorize 4-H to record the above named 4-H member's image and/or voice for use by the __ Yes __ No University of New Hampshire, its affiliates (including but not limited to the UNH Cooperative Extension, UNH Foundation, and 4H Foundation of New Hampshire), or its assignees in research, educational and promotional programs. I understand and agree that these audio, video, film, and/or print images may be edited, duplicated, distributed, reproduced, broadcast and/or reformatted in any form and manner without payment of fees, in perpetuity. New Hampshire 4-H Event Youth Code of Conduct As a participant in a New Hampshire 4-H event, you have the responsibility of representing the New Hampshire 4-H program to the public. You are expected to conduct yourself in a manner that will bring honor to you as well as to 4-H. To do that, you will need to: 1. Attend all sessions in the planned program and participate fully 7. Know that the use of non-prescribed drugs and fireworks 2. Follow hours and room rules established before the event begins. are illegal. Their use along with alcohol and tobacco, are You are responsible for knowing the rules of your events. prohibited at all 4-H events. 3. Dress appropriately for each event. 8. Treat program areas, lodging areas and transportation 4. Use language and manners that will bring respect to you vehicles with respect and care. You will be responsible for and to New Hampshire 4-H. You are responsible for any damage, theft, or misconduct in which you participate. 9. Help other persons in your group have a pleasant knowing what language and behavior is appropriate. experience by making every attempt to include all 5. Be in the assigned program area at all times (for example: participants in all activities. dorms, motels, etc.) 6. Model respect for other persons in public areas. 10. Live up to your highest expectations for yourself so you can return home proud of who you are and what you have done. Those who find themselves unable to conduct themselves within the guidelines listed above may expect: 1. To explain their actions to the adults in charge 5. To have the adults in charge notify parents/guardians, 2. To accept the consequences of their actions Extension personnel and others to see that the actions taken, in case of unacceptable behavior, are appropriate 3. To possibly be sent home immediately at their own expense for all concerned. 4. To possibly be excluded from participation in a future 4-H event or trip. As the parent or guardian of______________________________________, I have read the New Hampshire 4-H Events Permission Release/Code of Conduct form. I give permission for the above named youth to participate and will support the adults in charge in the performance of their responsibilities to see that the appropriate behavior is maintained._________ (Parent Initials) I have read the New Hampshire 4-H Code of Conduct and agree to live up to the expectations. I realize my failure to do so could result in a loss of privileges during the event and/or in the Future. ______________ (Youth Initials) ________________________________________ _______________ Signature of 4-H Participant Date Revised 3/11/15 _________________ ____________________ ___________ Signature of Adult Parent or Guardian University of New Hampshire Cooperative Extension is an equal opportunity educator and employer. University of New Hampshire, U.S. Department of Agriculture and N.H. counties cooperating. Date
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