Dear 4-H Horse Project Member

April 6, 2017 Dear 4-H Horse Project Member, Enclosed you will find the registration form for the Harford County 4-H Horse Clinic and other important information regarding the clinic. The clinic will be held at the Equestrian Center in Bel Air, JUNE 21-23 (three days, two nights). The enclosed forms (registration, release & informed consent & volunteer) need to be completed and returned along with a negative coggins and health form by MAY 26 to: Harford County 4-H Office POB 663 Forest Hill, MD 21050

Registration fees should be made payable to: HARFORD COUNTY EAC. The fee is $140 per individual child and $100 for each additional child (in the immediate family living at the same address) if payment and forms are turned in by MAY 26 plus a refundable deposit on a separate check for $25 (check will not be cashed and will be returned after stalls are inspected and approved before you leave). After MAY 26 every participant will pay $165 per child. Completed applications include Registration Form, Adult Volunteer Form, 4-H’er/Chaperone Assignment Form, Parental Release & Informed Consent Form, Maryland 4-H Behavioral Form, Health Form, Concussion and Sudden Cardiac Arrest Awareness forms and a Current Negative Coggins. Applications will be accepted on a first come basis as space permits. ALL forms and payment, with required signatures and dates, need to be received prior to the event. Equine self-evaluation forms will be submitted when you bring your horse/pony. No refunds after May 26 unless you provide a doctor or veterinarian note. *Your horse must be safe and suitable for your child to handle independently. Those 4-H’ers enrolled in the “Horseless” program may also attend the clinic during the day but not overnight. They may participate in any activities except the actual riding instruction. “Horseless” 4-H’ers must be accompanied by their parent or a designated UME volunteer. There will be a charge of $25 per day to attend the activities and join us for lunch and dinner. Fill out the top of the form and circle “Horseless” and return it along with your registration fee. A “Clover” session will be offered this year on Thursday, June 22 from 10:00a.m-2:00p.m. for 4-H members ages (5-7). Each Clover must be accompanied by a parent or a designated UME volunteer. Clovers will participate in horseless activities designed specifically for them. This will be a one day (four hour event) that will include a meal and a T-shirt. The cost will be $25. It is important that you return your application and fee as soon as possible, so we can plan accordingly. If you have any further questions or concerns, please call the 4-H Office at 410-638-3255. *All horse clinic forms will be available online under “Horse Clinic” at our county website http://extension.umd.edu/harford-county or they can be picked up at the Extension Office. Don’t forget to include a current negative coggins for your horse. If you are in need of a scholarship, call the 4-H Office.

*All 4-H’ers must register on-site before unloading or setting-up sleeping areas. Registration and arrival time will be Tuesday, June 20 from 6:00 – 8:00 p.m. (horses only) and Wednesday, June 21 from 6:30 – 8:30 a.m. The registrar must have all completed forms before you begin unloading.

*4-H’ers WILL NOT spend the night Tuesday evening, but animals and all necessary equipment may be brought in and stalls may be decorated. Someone will be spending the night with the horses. *There will be an orientation meeting for all 4-H’ers, chaperones and volunteers on Wednesday, JUNE 21 at 9:00 a.m. on the bleachers closest to the barns. Parents: Your support is greatly appreciated. For the benefit of all participants: Parents or guardians only may visit your child during the clinic and siblings should only accompany you if you are visiting for a very short time and they must remain with you at all times. Please be sure to get a name tag and fill in the sign in/out sheet located by the kitchen. The clinic is open to family members on Saturday during the Horse Show Clinic/Gymkhana and again any siblings must remain with you at all times. Dogs/puppies are not permitted. All volunteers should be pre-registered on the Volunteer Form.

*All parents must leave the premises by 8:00 p.m. (unless they are assigned overnight chaperones).

Sincerely,

Cynthia L. Warner Extension Educator, 4-H Harford County Enclosures

“If you need special assistance to participate in the Horse Clinic, please contact the Extension Office at 410-638-3255 two weeks prior to the event. “Equal Opportunity and Equal Access Programs”

PAID ______HEALTH FORM ______DEPOSIT ______CARDIAC ARREST FORM ______RELEASE & CONSENT FORM ______CONCUSSION FORM ______COGGINS TEST ______BEHAVIORAL FORM ______HARFORD COUNTY 4-H HORSE CLINIC REGISTRATION FORM 2017 JUNE 21, 22 & 23 Heavenly Waters Equestrian Center 608 North Tollgate Road in Bel Air, MD 21014

Registration Fee - $140 ($100 for each additional child) if all forms and payment are received in 4-H office by May 26 ***Late Registration Fee - $165 per child if received after May 26 3 days and 2 nights, all meals and educational materials included Clean Stall Deposit on a separate check for $25 (check will not be deposited and returned if the final stall check is approved) You may pre-purchase bags of shavings by adding the cost to your registration check or writing a separate check. The cost will be $6 per bag with a minimum of 3 bags.

Name 4-H Age ______Male ____ Female ____ Full address Club ______

Parent’s Email ______Phone ______Cell Phone______Circle: English Western Do you take riding lessons? Yes ______No ______

Horseless Clover If yes, how long? ______Instructor’s name Phone ______Do you consider yourself a: Beginner ______Intermediate Advanced ______How long have you been riding? On flat Jumping How high? ______Do you ride: Show ______Pleasure ______Do you trail ride your horse? ______What is your horse’s experience? Large group Small group _____

Horse’s name ______

Age Sex Height (hands) ______Is it: Green ______Experienced ______Does it jump? ______How many times has your horse been off your farm in the past 12 months? ______) Can you safely handle your horse by yourself? ______How long have you been riding this horse? ______

Veterinarian’s name Phone ______

Farrier’s name Phone ______

(Continued on other side) Does your horse have any vices, special needs or require special care? Explain: ______Feeding Instructions: ______

SUGGESTED ACTIVITIES & CLINICS FOR NEXT YEAR (Check top ten choices)

Equine Careers Fitting & Showing Vaulting Line Dancing Jousting Massage Polo Crosse Gymkhana Driving Acupuncture Saddle Fitting Dentist Crafts Dirty Pony Contest Videos Western Riding Tack Cleaning Party Horse Show Horse Bowl & Judging Levels Testing Dressage Clinic _____ Campfire & Skits Roping Trip to

Do you have other suggestions? ______

Horsemanship Standards Levels 1 & 2 Knowledge and Riding will be offered at Horse Clinic for both English & Western. This is mandatory to show at the county & state fairs. Please circle if you need this testing. YES NO Testing for Horsemanship Standards Level 3 English - Knowledge, Riding & Jumping & Western - Knowledge & Riding (Riding Level 3 riding is mandatory to show at the county & state fairs) will be offered during the clinic. Please circle if you need this testing.

YES NO

T-shirt size (circle one). youth small youth medium youth large adult small adult medium adult large adult x large

ADULT VOLUNTEER FORM In order to make the Horse Clinic a success, we depend on UME adult volunteers to help. To chaperone a group of 4-H’ers, you must be an UME trained volunteer. We are asking that each family volunteer some time to help at the clinic. During the clinic, help is needed in the kitchen (cook, set-up, clean-up, etc.), assist the instructors with equipment, set-up jumps – take down jumps, someone to stay overnight in the barn and much, much more. If you are unable to actually be at the clinic, there are many preparation tasks that need your support. For example: soliciting contributions of paper products, food and drinks to offset clinic costs, etc. If you need the UME Volunteer training, contact the 4-H Office immediately. Please indicate below how you will be able to assist us in providing your child with a safe and wonderful experience. Volunteer Name: ______Phone: ______

Club: ______Are you a UME chaperone for your group? ______

Will you be staying full-time? ______If so, for how many nights? ______Kitchen help (we must have several volunteers so that meals will run on time and smoothly). You will need to arrive at least a half hour before meals.

Wednesday, June 21 Thursday, June 22 Friday, June 23 12:30 lunch 8:00 breakfast 8:00 breakfast 4:30 dinner 12:00 lunch 12:00 lunch 5:00 dinner

Lunch ______Breakfast ______Breakfast ______Dinner ______Lunch ______Lunch ______Dinner ______

We need everyone’s help to make this clinic successful and safe. If everyone contributes in some way it makes it easier for everyone. Please consider carefully how you can help.

Tuesday  Times available ______to ______Wednesday  Times available ______to ______Thursday  Times available ______to ______Friday  Times available ______to ______

We really need help on Tuesday evening or Wednesday morning with setting up jumps (someone with a truck and hitch to pull the wagon) and removing tables from the sleeping area and on Friday with putting away jumps, putting tables back in sleeping area and general clean up (sweeping floors, emptying trash cans, etc.).

Adults unavailable at the clinic but available for other preparation activities: ______Specify if you have a particular interest: ______If you are a nurse or EMT and will be on site, please let us know the times. ______

There will be an orientation meeting for all chaperones, volunteers and 4-H’ers on Wednesday, JUNE 21 at 9:00 a.m. on the bleachers nearest to the barns. If you have questions or need additional information, contact Cynthia Warner or Kathy Porcella at the Harford County Extension Office at (410) 638-3255. Thank you for your support! 4-H’ER/CHAPERONE ASSIGNMENT

4-Her’s Name: ______

Who would you like to share a tack stall with? 1st Choice ______2nd Choice ______Each participant must have a chaperone (one per every 8-10 campers). Please list below the name and phone number of the person who will be serving as your chaperone. Your chaperone must also sign this form before it is returned.

Name: Phone: ______Email: ______Cell Phone: ______

Check one: UME trained volunteer 4-Her’s parent

Chaperone’s signature: ______



TACK STALLS

Horse stalls and tack/feed stalls will be pre-assigned. You may set up your stalls when you arrive. Stalls are encouraged to be decorated with any theme of your choice. You may include pictures, curtains, name, information about your breed or any other information you would like to provide.

**Pre-purchased bagged pine shavings will be on site for your convenience, if you chose to participate.

**Your $25 deposit will be refunded when you leave if your stalls have been properly cleaned and approved by staff.

Stall cards will be provided for each horse with the horse’s name, vet name and phone number, farrier name and phone number, your name and feeding instructions. **Please be sure to complete these items on your registration form including “Special Instructions” (if needed).

WHAT TO BRING TO THE HORSE CLINIC Listed below are items that will make your stay more enjoyable. Remember, you must have all the equipment needed to care for your horse, set-up a tack stall and sleep area. This list is a guide - you may want to make additions or deletions.Campers and chaperones will set up their bedding in the main pavilion.

Sleep Space: Riding Equipment: For Setting Up Your Stalls extension cord helmet (horse & tack): fan riding pants/breeches 8 gallon water bucket laundry bag riding boots hammer broom chaps/half chaps hooks for tack trash bag saddle rack paper towels muck bucket, cart or wheelbarrow rake Bedding: For Your Horse: pitch fork cot/folding lawn chair/air mattress coggins test hose (only a few needed) sheets salt/electrolytes screwdriver sleeping bag grooming equipment bucket hooks pillow bag shavings nails & screws feed screw eyes Wash Items: hay double snaps towels (2-3) fly spray feed bucket washcloth break-away halter foot covering to wear in shower

Toiletries: Tack: Extras: soap Everything you need to flashlight (extra batteries) shampoo ride your horse: plastic bags (for wet items) toothbrush/toothpaste saddle snacks in closeable containers tissues girth cooler insect repellent bridle smiles sunblock/suntan lotion saddle pad, etc.

Clothes: Stall Decorations: shorts You may decorate your tops – with sleeves stall with any theme of jeans your choice. Use your sweatshirt or light jacket imagination, just be sure pajamas that you do not hang sneakers anything that can harm waterproof shoes your horse. raincoat swimwear (no bikinis)

2017 HARFORD COUNTY HORSE REQUIREMENTS 4-H HORSE CLINIC RULES  Horses are expected to be quiet enough to participate in groups as large as 20. Please read the following carefully. Anyone found violating these rules or have horses that do not meet the requirements will be askedHorse to mustleave. be There safe and will suitable be NO REFUNDSfor your child if youto handle are dismissed. independently. The Horse Clinic committee members have the final say on anyHorse decision must made. be able If to you be feelstalled you for cannot the majority follow theseof the rules time or they the are horse at the you event. would like to participate with cannot meet the requirements Horses should as outlined, not be please aggressive do not or apply. dangerous animals to be around.  No stallions  Green horses are allowed as long as they are easily and safely managed by the 4-H’er.  The horse must be one which the 4-H’er is familiar with and has worked with prior to Horse Clinic.  The Horse Clinic committee reserves the right to limit any and all activities as they pertain to the safety of the horse & rider. HORSE CLINIC RULES

 Clinic check-in time will be Tuesday, June 20, 6:00- 8:00 p.m. (horses only) and Wednesday, June 21, 6:30-  You may not switch horses or ride anyone else’s 8:30 a.m. horse – No exceptions.  Signed, completed Health, Volunteer, Chaperone,  Parents are welcome as spectators only (unless they Release & Informed Consent, Concussion and Cardiac have volunteered to help) and must wear a name tag. Arrest Awareness forms, current negative Coggins Test and payment must have been received by the Extension  Parents are requested not to interfere with the planned Office by June 12 (May 26 for the lower rate). ALL program or with the instructor’s placement of riders. paperwork MUST be turned in prior to the event, except  4-H’ers are to do their own work. More experienced 4- Equine Self Evaluation. H members will offer assistance to younger members  All clinic rules apply upon arrival. when needed.  Your chaperone must be verified and approved by the  No switching of stalls (tack or horse) once they are set committee for you to unload and remain at the clinic. up. Remember: Only UME trained volunteers may serve  No horse may be put in any stall other than their own, as chaperones for a group (8-10 youth). even temporarily. Keep all stall doors closed.  No bare feet or sandals allowed in barns or around  Tack will be kept in tack stalls, not in aisle ways. horses (only in the pavilion).  The times for preparation for bed, quiet time and lights  No riding allowed at any time without proper apparel out will be strictly enforced. At 10:00 p.m. lights will be (shoes with heels, 4-H approved hard hats – ASTM/SEI), out and you are expected to be in bed and quiet. t-shirts with sleeves must be worn and riding pants preferred, chaps permitted with long pants – no shorts.  All electronics and flashlights must be turned off by 10:00 p.m. or they will be taken by the chaperone and  You are not allowed in the horse barn area after dark. returned at the end of the clinic.  Do not leave the sleeping area after dark.  All stalls (horse and tack) and sleeping areas must be  The general public is not invited-families of participants cleaned before release time on Friday. only.  Stalls will be inspected after your horse is loaded and  Only registered participants and approved chaperones your deposit check returned if approved by staff. (UME trained volunteers) are allowed to spend the night.  All horses must be out by 4:00 p.m. on Friday, June 23. All others must leave by 8:00 p.m. Notify the Extension Office Prior to this event, if you are  Only clinic participants are allowed on the horse that unable to check-out by 4:00 p.m., so we are aware of it. they registered to bring.  ALL 4-H’ers will participate in all scheduled events  No riding allowed after the final lessons of the day, unless prior arrangements are made with the camp unless otherwise specified. committee.  You can only ride during the scheduled time with  Think before doing, if you have any doubt about your group & instructor. something, don’t do it, check with someone in charge, we are here to help.

UNIVERSITY OF MARYLAND EXTENSION HARFORD COUNTY POB 663 FOREST HILL MD 21050