Boyle-Lincoln-Powell 4-H SUMMER CAMP. Early Bird Deadline: March 30, 2018

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1 Boyle-Lincoln-Powell 4-H SUMMER CAMP July 9-13, 2018 J.M. Feltner 4-H Camp in London, KY Open to youth ages 9-14 Cost: $250 Includes lodging, meals, snacks, t-shirt, activities, & class fees Early Bird Deadline: March 30, 2018 **New** turn in application by March 30, and receive a LIMITED EDITION Camp t-shirt! (Details inside) Final Deadline: June 1, 2018 Space is limited and first come/first served!

2 Who Can Go: Youth do not have to be currently enrolled in 4-H! Camp is for youth ages 9-14 or who have completed 3rd grade. Youth ages can apply to serve as Junior Counselors (JCs). Applications are available at the Extension Office. 14-year-old campers will participate in the Counselor-in- Training Leadership Experience. Adult Counselors: Any parent or adult interested in attending camp should contact the Extension Office for a registration packet. All adults must undergo a background check, reference check, interview, and be approved by Committee before attending 4-H Camp. There is no charge for adults selected to attend. How to Sign Up: All camp forms and fees are due no later than June 1. SPACE IS LIMITED! Payments can also be paid with cash, check, money order or via our online Square Store at (Make checks or money orders payable Important Info! to Powell County 4-H) ONLY Complete registration (paperwork plus $250 or $20 and completed scholarship application) will hold a spot for camp. If all available beds are full and your application is incomplete, it will move to the waiting list. Lodging & Meals: Camp registration is $250 and includes meals, lodging, transportation, a camp t- shirt and class fees. All campers will stay in cabins with other youth and at least one adult and one teen leader (except 14 year olds; see enclosed details). Scholarships: A limited number of scholarships are available. All scholarship applications must be received no later than May 1, 2018! Scholarship winners will be notified on or around June 1. Health Forms: We require you provide all health information. We do not require a physical. Medical Insurance Card: Each camper must submit a copy of his/her Medical Insurance Card. Head Lice Checks: Campers are required to have a lice check done before camp at Camper Orientation. NO camper is permitted to board the bus without a signed head lice check form. What to Bring: A complete list will be provided at Camper Orientation. Campers should bring loose change for Mason Steigerwald Scholarship Fund to win a chance to pie a AC/JC/Camp Staffer! Camper Orientation: All campers and at least one parent/guardian MUST attend Camper Orientation on June 28 at 6:00 p.m. at the Powell County Extension Office. Campers will receive class and cabin assignments at these meetings. **Orientation is mandatory for camp attendance. No exceptions.** Early Bird Registration! Submit application and payment ($250 or $20 and scholarship application) by March 30 to receive a FREE, LIMITED EDITION shirt. This is in addition to the shirt campers will receive at camp. See design at right. These will be distributed at camper orientation. BACK FRONT

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6 Name: School Attended in 17-18: If possible, I would like to be in a cabin with (same gender only): Please note: All efforts are made to place campers in cabins with those they request, but only a small number of cabins are available. All reasonable efforts will be made to accommodate your requests. Also, please note that we have a strict no bullying policy. Parents please notify agents if there are existing issues. Camp Classes! Please rank your top 7 choices (total) for your camp classes, with 1 being first and 7 being your last choice. Classes fill first come-first served, so turn in your application early! Note: Only mark Swimming if you want lessons. Everyone will receive Free Swim. Rising high school freshmen (completed 8th grade) do not need to sign up for classes. You will automatically be placed in CIT Leadership. NOTE: Some classes are limited by AGE AT CAMP Advanced Swim Engineering Playground/Gaga Archery Field Games Riflery Arts and Crafts Fishing Rockets Basketball High Ropes (10 and up) Space Camp Beginning Swim Low Ropes (1st year camper only) Canoeing Media (12-13 only) Weird Science Cooking Nature CIT Leadership Community Service Newscast (all 14 year olds) Dance/Recreation Officer Training (12-13 only) Select Tee-Shirt Size: Youth S Adult M Youth M Adult L Youth L Adult XL Youth XL Adult 2X Adult S Adult 3X CIT Leadership for rising freshmen! Available for all campers who have completed the 8th grade or higher. No need to sign up for classes! This training program builds strong leaders and offers campers a different 4-H camping experience. Participants will take Counselor-in-Training classes and assist with the instruction of other classes.

7 4-H Camp Scholarship Application A limited number of Scholarships are available. Please complete and return the enclosed form to apply. All scholarship applications must be received no later than May 1, 2018! Scholarship winners will be notified via mail. Camper Name: School Attended in : Number of children in family attending 4-H Camp: Grade last completed: Years attended 4-H Camp: Did you qualify for free/reduced lunch during the school year? Why do you want to attend 4-H Summer Camp? Must be completed by camper. Attach separate page if needed. What other 4-H Clubs or Activities have you participated in during ? Ask a Teacher, Guidance Counselor, Family Resource Center Director, or adult from your church or community organization to complete the following (no relatives): Signature and Title: Relation to Camper: Contact Address/Number: Why do you believe this young person should receive a 4-H Camp Scholarship?

8 Powell County 4-H Camp Refund Schedule May 1 June 1 June 1 June 15 July 9 All scholarship applications due. Camp application deadline. First cancellation deadline: If 4-Her notifies Powell Co. 4-H in writing received by the end of business on June 1 he/she does not want to go to camp, camper will be refunded 100% of fee paid minus the $20 deposit. Second cancellation deadline: If 4-Her notifies Powell Co. 4-H in writing received after June 1 and before end of business on June 15 he/she does not want to go to camp, camper will be refunded 75% of fee paid. Final cancellation deadline/depart for camp: If 4-Her notifies Powell Co. 4-H in writing received after end of business June 15and before boarding bus on July 9, camper will be refunded 40% of fee paid. Once camper has boarded the bus, no part of fees shall be returned. Please Don t Forget! All campers and at least one parent/guardian MUST attend Camper Orientation on June 28 at 6:00 p.m. at the Powell County Extension Office. Camp Application Checklist Please make sure you ve completed all items below before submitting by June 1, Return to Powell Co. Extension Office, 169 Maple Street, Stanton, Ky Does this application include: Camper Participant Registration with Authorizations/Releases (3 pages) Copy of camper s medical insurance card Completed Camp Class Choices form showing preferences and t-shirt size Payment in full of $250 (checks made payable to Powell County 4-H) if not applying for a scholarship OR Payment of $20 and Scholarship Application

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