Jefferson County Cooperative Extension Service 4-H Youth Development Program 2729 West Washington Hwy Monticello, FL 32344 Phone: 850-342-0187 Office Cell: 850-544-4197 Fax: 850-342-3483 Email: jgl@ufl.edu http://www.jeffferson.ifas.ufl.edu March 19, 2018 TO: FROM: Day Camp Participants & Parents Julianne Shoup, Family and Consumer Science/4-H Extension Agent RE: Camp Money Maker, July 26-27, 2018 Thanks for choosing Jefferson County 4-H Camps. We are beyond excited to spend several days with your child. We work hard to create a fun, challenging, safe learning environment for every camper who participate in our programs. The Show Me the Money Day Camp is for ages 8 11 and focuses on learning about money through games and hands on activities. The camp will be filled with many activities which will include: Customer Service Activities Learn how to county back change Visit a local business and meet the owner! Campers will plan, buy supplies, and run their own lemonade stand for a day! The cost for the camp is $15.00. Make check or money order payable to Jefferson County 4-H Association. There is a limit of 8 participants for the camp. Please complete all attached forms and return to the 4-H Office. The deadline to pay the fee and register is Wednesday, July 11th. Jefferson County Extension will provide water and healthy snacks for campers during the day. If your child has certain dietary restrictions, please let us know ASAP. Clothes should be comfortable for inside/outside and closed toes shoes such as tennis shoes. Good behavior and positive attitudes are always encouraged. Campers may earn a visit to the treasure chest to reinforce good behavior. We are looking forward to an educational and fun-filled day camp. Please call or email if you have questions or concerns. The Foundation for the Gator Nation An Equal Opportunity Institution
4-H Camper Registration Form 2018 Jefferson County Camp Money Maker July 26-27, 2018 Name Age Race Sex Address City Zip Parents Name(s) Camper Birth Date: / / (Must be 8 by September 1, 2017) (Month, Date, Year) Home Phone Number Work Phone Number Do you have any special Dietary needs? If yes, explain below. Free Breakfast will be provided during the day camp for those who register. My child plans to eat breakfast at day camp. My child does NOT plan to eat breakfast at day camp and will eat breakfast before arriving at camp. Free Lunch will be provided on FRIDAY during day camp for those who register. My child plans to eat lunch at day camp. My child does NOT plan to eat the free lunch at day camp and will pack a sack lunch to bring to camp. Parent Signature: Date: CAMP FEE IS $15.00 TO BE PAID AT THE TIME OF REGISTRATION. THERE IS LIMIT OF 8 CAMPERS FOR THIS CAMP.
PERMISSION FORM FOR ADMINISTRATION OF MEDICATION (PRESCRIPTION & NON-PRESCRIPTION) Jefferson County Please list child s name and turn in form whether or not any medication is listed. Thank you! Child s Name: 1. Name of Medication Dosage 2. Name of Medication Dosage 3. Name of Medication Dosage Emergency Phone Numbers: Parent s Name: Work Home Other Work Home ALL MEDICINES (prescription and non-prescription) ARE TO BE TURNED IN UPON CAMP ARRIVAL AND WILL BE KEPT BY THE HEALTH SUPERVISOR AND IN A CENTRALIZED LOCATION. I Certify the Necessity of the above Medication (S) and it Is Understood by the Undersigned That There Shall Be No Liability for Civil Damages as a Result of the Administration of Such Medication Where the Person Administering Such Medication Acts as a Reasonably Prudent Person Would Have Acted under the Same or Similar Circumstances. Date Parent/guardians Signature