4 h echo - extension grant countyhorsfall. the halloween committee decided to have contests at our...

14
The source of 4-H news in Grant County What’s Inside… Calendars ................................................. 3 Club News ................................................ 4-6 Junior Leaders .......................................... 6 4-Her & Volunteer of the Month ................ 7 Projects & Activities .................................. 8 Announcements ........................................ 9-10 Forms........................................................ 11-13 Contact Us: Grant County UW-Extension Office 916 E. Elm Street, Suite A Lancaster, WI 53813 608-723-2125 Fax 608-723-4315 Hearing Impaired Relay: 711 http://grant.uwex.edu Find Grant County 4-H on Facebook! Charisse Orth Interim 4-H Youth Development Educator [email protected] Dustin Winkelman Interim 4-H Program Assistant [email protected] November / December 2017 4-H ECHO 4-H grows confident, capable, and caring kids with the life skills to thrive in today's world and succeed in their boldest dreams for tomorrow. 4-H AWARDS NIGHT November 10, 7:00 pm Grant County 4-H Awards Night is scheduled for Friday, November 10 at 7:00 pm, in the Youth & Ag Center. Individuals that will be honored are those that have completed the following: - completed a record book (and score 65 points or more) be a Cloverbud or graduating 4-H member Travel on a 4-H sponsored trip participated in a 4-H activity, clothing revue, foods revue, judging team, demonstration, etc. You are invited to attend 4-H Awards Night. This is a time to congratulate the members for their outstanding work in 4-H. Way to go 4-Hers, we’re proud of you!

Upload: others

Post on 01-Jun-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

The source of 4-H news in Grant County

What’s Inside…

Calendars ................................................. 3

Club News ................................................ 4-6

Junior Leaders .......................................... 6

4-Her & Volunteer of the Month ................ 7

Projects & Activities .................................. 8

Announcements ........................................ 9-10

Forms ........................................................ 11-13

Contact Us:

Grant County UW-Extension Office 916 E. Elm Street, Suite A

Lancaster, WI 53813 608-723-2125

Fax 608-723-4315 Hearing Impaired Relay: 711

http://grant.uwex.edu Find Grant County 4-H on Facebook!

Charisse Orth

Interim 4-H Youth Development Educator [email protected]

Dustin Winkelman

Interim 4-H Program Assistant [email protected]

November / December 2017

4-H ECHO

4-H grows confident, capable, and caring kids with the life skills to thrive in today's

world and succeed in their boldest dreams for tomorrow.

4-H AWARDS NIGHT November 10, 7:00 pm

Grant County 4-H Awards Night is scheduled for Friday, November 10 at 7:00 pm, in the Youth & Ag Center. Individuals that will be honored are those that have completed the following:

- completed a record book (and score 65 points or more)

− be a Cloverbud or graduating 4-H member

− Travel on a 4-H sponsored trip

− participated in a 4-H activity, clothing revue, foods revue, judging team, demonstration, etc.

You are invited to attend 4-H Awards Night. This is a time to congratulate the members for

their outstanding work in 4-H. Way to go 4-Hers, we’re proud of you!

Page 2: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

2

Messages from the UW-Extension Staff

Congratulations to

Charisse Orth on

her new baby!

Hello Grant County 4-H!

My name is Dustin Winkelman and I am the Interim 4-H Program Assistant. I will be helping out the UW-Extension Office while Charisse is on Maternity Leave. I will be

in the office until mid-December. To give you a little background information about myself; I am from Watertown, WI and a senior at UW-Platteville studying Agriculture Education. When I graduate I plan to teach high school agriculture. I

grew up in 4-H and was a member in Jefferson County for 13 years. I was involved in various projects such as beef, dairy, foods, and photography. I am looking for-ward to the next couple of weeks helping out the Grant County 4-H program and seeing all the different activities that Grant County has to offer. I will be in the

Grant County Office for different hours through out the next two months; so if you need to contact me for any reason please send me an email at

[email protected].

Dustin Winkelman Interim 4-H Program Assistant

Dustin Winkelman Interim 4-H Program Assistant

Dustin Winkelman Interim 4-H Program Assistant

Page 3: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

3

Calendars

November 2017 2 Volunteer E-Forum; 6:00pm; South Room; Youth & Ag Center, Lancaster 3-5 Fall Forum; Green Lake Conference Center, Green Lake 10 Award’s Night; 7:00 pm; Youth & Ag Center, Lancaster 12 Horse Project Meeting, 1:00 pm, Vesbach’s Farm, Platteville 14 Executive Board Meeting; 6:30 pm; Auditorium; Youth & Ag Center, Lancaster 20 DEADLINE for International Programs 27 4-H Jr. Leaders Meeting; 6:30 pm; South Room; Youth & Ag Center, Lancaster 27 Out of State Exchange Meeting; 7:30 pm; North Room; Youth & Ag Center, Lancaster 27 DEADLINE registration for Jr. Leader Lock-in 27 DEADLINE to turn in 4-H T-shirt order form

December 2017 1 DEADLINE 4-H Enrollment (to continue receiving Echos & other information) 1 DEADLINE Pork Association Scholarship 7 Volunteer E-Forum; 6:00pm; South Room; Youth & Ag Center, Lancaster 10 4-H Jr. Leaders Meeting; 6:30pm; South Room; Youth & Ag Center Lancaster 12 Executive Board Meeting; 6:30 pm; South Room; Youth & Ag Center, Lancaster 22 Steer Weigh-in; 3:00 pm - 5:00 pm; Livestock Pavilion; Fairgrounds, Lancaster 29-30 4-H Jr. Leaders Lock-in; 6:00pm; Youth & Ag Center, Lancaster

January 2018 6 4-H Arts & Crafts Workshop; 9:00 am - Noon; North Room; Youth & Ag Center,

Lancaster 6 4-H Child Development Workshop; Noon - 1:00 pm; North Room; Youth & Ag

Center, Lancaster 6 4-H Home & Environment Workshop; 1:00 pm - 3:00 pm; North Room, Youth &

Ag Center, Lancaster 14 4-H Shooting Sports Practice; 1:00 pm; Tri-County Archery, Rewey 20 4-H Clothing Workshop; 9:00 am; North Room; Youth & Ag Center, Lancaster 22 Out of State Meeting; 7:30 pm; North Room; Youth & Ag Center, Lancaster

Page 4: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

4

Dairyland Diamonds by Kaitlyn Reed (August) The Dairyland Diamonds 4-H Club had their August meeting on the 27

th at noon. We had our

meeting at Ann Vosbergs house, where kids were allowed to watch the robotic milker and to see other farm chores. At our meeting we talked about previous fairs and how kids placed at them with their projects. Kids also talked about the projects they took to Grant County Fair, everything from paintings to the dairy was talked about. We then talked about the Dairy Days float and food stand, and then a sign up sheet with shifts was passed around for members to work at the Dairy Days food stand. After our 4-H meeting was adjourned we ate hot dogs and chips. Dairyland Diamonds by Courtney Spease (October) Our last meeting was October 8

th at Vespermans. We talked about our Dairy Days food stand, and

how much money we earned, we also elected our new officers for the upcoming year. Our president is Hayden Adrian, Vice President is Kaelyn Weigell, Secretary is Ainsley Noble, Treasure is Drew Noble, Reporter is Courtney Spease, Historian is Allison Adrian, and our Song Leaders for the upcoming year will be our cloverbuds. Our next meeting will be November 5

th at St. Mary's basement

at Noon, we will be having a potluck. Hazel Green Clever Clovers by Wyatt Heisz The October meeting of the Hazel Green Clever Clovers was held on Sunday the 8

th. We swore in

the new officers. Congrats to President Kailee Kaiser, VP Madison Vosberg, Secretary Jack Runde, Treasurer Levi Vosberg, Reporter Wyatt Heisz, Historian Ava Green, and Sargent of Arms Isaac Droessler. We discussed the activities we are planning for the year and handed out the yearly program. We were reminded to go online and renew our membership and our projects. We decided that each month a few members were going to bring in a few fair projects to show others what they can do. A thank-you was given to the club for the new signs for the animal exhibits at the fair. Our next meeting will be at the roller skating rink in Dubuque during November. After the meeting was done we guessed candy corn, had a costume party, and told a spooky story while passing creepy items to feel. Have a spooky Halloween! Mt. Ida Hilltoppers The Mt. Ida Hilltoppers held their meeting on September 1

st, 2017. At our meeting we elected new

officers. Our new officers are: Presisent- Mackenzie Kopp, Vice-President- Sadie Tysver, Tresurer- Daniel Witzig, Secrtary- Mariah Kopp, and Sargent of Arms- Bianca Witzig. Along with electing new officers, we also went over a couple more things, we read through the bylaws for all of the new members, we disscussed when we were going to have our Halloween Party, and we made the new club calander. On Monday, September 2

nd members of the club decorated a window at Embroidery

Express in honor of 4-H week. Our next meeting will be November 5th starting at 5 p.m. at the St.

Peter Lurthern Church in Fennimore, where we will be having our Halloween Party.

Club News

Page 5: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

5

Club News

Potosi Happy Clovers

On October 1st we had a meeting at Vesperman Farms. Our club elected new officers. Our president

is Arik Puetz, vice president is Dylan Udelhoven, secretary is Hannah Nusbaum, treasurer is Willie Udelhoven, and reporter is Madyson Schmidt. We will be having a 4H trunk at trunk or treat in Potosi. It will be at the Potosi High School student parking lot on October 28

th at 6pm kids age to 0-12 can

dress in their Halloween costumes and go "Trunk to Trunk" for treats! We will pass out meeting invites & candy. Our next meeting will be November 12

th at 6pm. In the Potosi Public school cafeteria.

Cloverbuds will have a project at 5pm. Plum Valley Boosters The Plum Valley Boosters 4-H Club had their meeting on October 7, 2017. We talked about National 4-H week. Thank you to Brechler-Lendosky Group for allowing up to put up a window display. Thank you to Friederick’s Restaurant for using the placemats we made. Bucky Book sales were discussed. We are going to sell at Friederick’s. Members decided that those who sell at least 1 Bucky Book, the club will pay their dues for the year. We also had elections for 2017-2018. The new officer team includes: President Amber Stenner, Vice-president Randy Winch, Secretary Olivia Horsfall, Treasurer Wesley Winch, Reporter Matthew Winch, Historian Keeley Everson, and Flags Riley Horsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin. The next meeting will be November 4, 7 p.m. at the Fennimore United Methodist Church. After the meeting members who completed a record book were given the opportunity to throw a pie in our leader’s, Christina Winch, face. New members are always welcomed. Please call Christina at 822-7806 with questions. Town & Country Kids 4-H by Cal Reuter (September) On September 9

th and 10

th we took our club trip to the Omaha Zoo. We got to sleep over in the zoo

and go for a night hike. The next day we went on a morning hike and then we toured the zoo on our own. The animals were amazing to see, and the zoo was really cool. Record books are due Monday, September 25

th. Adults will be checking the record books on Tuesday, September 26, at 6:00. Our

club got 1st place in the Promote the Fair Sign contest. We are going to wear our 4-H shirts to school

on Wednesday, October 4th to celebrate National 4-H Week. We decided to have a float in the KIeler

Fireman’s Parade on Sunday, October 1st. If interested in being in the parade meet in Kieler that

morning at 10:30. We decided to have dances at the Cuba City Elementary School again this year. If you can help out chaperoning a dance, contact Joyce for times and dates. Our club auction will be after our October meeting. Shopping for the Club Auction will be Saturday, October 7

th. We will meet at

Farm and Fleet in Dubuque IA, at 10:00 a.m. Evan Curtis did a demonstration on different types of baits and hooks he used during a fishing trip up north. Great job Evan! Brittany volunteered to do a demonstration at our October meeting. Our Youth Leader meeting will be on Sunday, October 1

st, at Steve’s Pizza in Platteville. Come

with some new ideas for the club to put on the calendar for the new 4-H year. Our next meeting will be Sunday, October 8

th at 4:00 p.m.

at the Cuba City Elementary School. Will have our meeting, an election/installation of officers, a potluck, and then our club auction.

Page 6: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

6

Junior Leaders

Town and Country Kids by Cal Reuter (October) At our October 8

th meeting we welcomed new members. We decided to donate money to the

BRIDGES program. We talked about our October dance, about 98 kids attended. On November 11 from 7-10:00 p.m. is out next dance at the Cuba City Elementary School. We could use some more chaperones, if interested come to the dance to help set up around 6:00 p.m. Cloverbuds made Halloween decorations during the meeting. We will be making a 4-H calendar again this year. E-mail pictures to Kim Neis by Wednesday, October 18

th. We voted to have a booth at 4-H Project day on

Saturday, February 10, 2018. Bring project ideas to the November meeting for Project Day. We held our election for club officers for the 2017-2018 4-H year. These are the following individuals that were nominated, elected and inducted: Evan Curtis, Sgt. of Arms; Jake Miller, Historian; Brittany Miller, Treasurer; Cal Reuter, Secretary 2nd term; Ashely Neis, President 2nd term; Jake Neis, Vice President 2nd term. After our meeting we had a pot luck that followed with our club auction. Shea Esser was our auctioneer again this year, Thank you Shea! Our next meeting is Sunday, November 12 at 5:00 p.m. at Cuba City Elementary School.

Attention club secretaries & reporters: Please remember to send your club news to [email protected]

Club News

The cost for both groups includes food and activities.

Registration for the event is due November 27th. Registration that are received by November 27

th will be

entered for a big door prize. Attached is a copy of the registration form. Walk-ins will be allowed. The snow date for the lock-in is December 30

th.

If your club is looking to donate to this fun event; the Junior Leaders are accepting monetary donations to help offset the cost. Also if you know of a business that would be willing to donate something to the

lock-in please contact the UW-Extension Office.

6:00 pm - 10:00 pm 5th graders through high school and the cost is $5.00

10:00 pm - 7:00 am for 7th graders through high school and the cost is $10.00

All Evening for 7th grade through high school and the cost is $10.00

The Lock-in is open to all; so bring a friend!

Junior Leaders are hosting a lock-in on Friday, December 29.

Activities to expect from 6:00 pm to 10:00 pm:

A taco bar for dinner

A presentation from the Sheriff’s Department K-9 Officer. (to be confirmed)

15 minute Mystery Stations

Ice Cream treats before dismissal.

Activities to look forward to after 10:00 pm:

A Magician Performance

Free Choice Activities

PIZZA

A Community Service Project

Page 7: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

7

4-Her and Volunteer of the Month

4-Her of the Month

Ashley Neis- Town & Country Kids 4-H Club

Hi my name is Ashley Neis, I am 14 years old and a Freshman at Cuba City High School where I am involved in volleyball and am also a FFA member. This is my eighth year as a member of the Town & Country Kids 4-H Club where I currently serve as President. In the past, I have served as Sgt of Arms, Treasurer and Vice President. The projects I am involved in are Beef, Dioramas, Photography, Ceramics, K’nex, Arts and Crafts, Crocheting and Youth Leadership. My favorite project is Beef because of the time I get to work with my animal from raising it as a calf, to the finished full grown animal.

My favorite part of 4-H is getting to meet new people at 4-H events and the Grant County Fair. I also enjoy helping and mentoring the younger members in our club with their projects and giving them creative ideas and advice. This year my team placed second at the Junior High FFA Quiz Bowl. The reason I joined 4-H is because my brother was a member. My entire family is involved in 4-H and it makes us do things together.

Through the years 4-H has helped me evolve into the somewhat outgoing person I have become today.

4-H Volunteer of the Month

Mark Donar - Town & Country Kids 4-H Club

I started in 4-H by being in the Georgetown Boosters 4-H Club for 24 years when I was younger. When my oldest son, Justin, was in 4-H a few kids asked me to be the swine leader.

Although I help a lot in the beef project, I enjoy all the projects. My favorite part about volunteering is to see kids grow, find a new interest and watching kids learn and guide them in a good direction. I enjoy seeing them grow up and what they do and how 4-H might have influenced their decision.

4-H has a wide range of opportunities that some kids don’t even know that’s out there. There are so many fields connected to 4-H that it’s not just ag related.

Page 8: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

8

Grant County Horse Project: The next Horse Project meeting will be held on Sunday, November 12

th at 1:00 PM at Vesbach's

Farm in Platteville. We will have our monthly meeting and officer elections at 1pm. After our meeting we will have a ground work clinic in the indoor arena. So bring a horse, or if you do not have a horse, please reach out to Karen or Melissa before the meeting and a horse will be provided. This will also count towards the 2018 Grant County Fair requirements for an attended practice & meeting. Steer Weigh-in: The Grant County Fair steer weigh-in and identification will be on December 22 from 3:00 p.m.- 5:00 p.m. in the Livestock Pavilion at the Grant County Fairgrounds. If you have a steer you would like to show and sell at the 2018 Grant County Fair, be sure to have it weighed and identified on December 22

nd.

4-H Family Project Day: February 10, 2018. 9:30 am - noon. Family Project Day is a wonderful opportunity for kids to make a wide variety of projects. It is a great event to showcase your 4-H club to the community and recruit prospective members. Around 300 people participated in 2017! If your club would like to host an activity, please contact Jenny at the UW-Extension Office by November 17, 2017. For members who would like to attend project day, the registration form and projects will be listed at grant.uwex.edu at a later date. Grant County 4-H Shirts: The Grant County 4-H Jr. Leaders T-shirts are in. If you ordered shirts, they can be picked up at the UW-Extension Office. If you missed the first opportunity to order there will be second order placed and those forms are due November 27 to the UW-Extension Office. Attached is copy of the order form.

Craft Project Workshop: 9:00 a.m. - Noon, January 6

The workshop will be held in the North Room, Youth & Ag Center. Members will be making a snowman light bulb ornament, cinnamon ornaments, recycled project and locker craft. There will be a small fee for the session. Call the UW-Extension Office to pre-register.

Child Development Workshop: Noon - 1:00 p.m., January 6

The workshop will be held in the North Room, Youth & Ag Center. Members will learn make a flannel board, puppet with plaque and cookie sheet magnet activity. There will be a small fee for the workshop.

Home Environment Workshop: 1:00 p.m., January 6

The workshop will be held in the North Room, Youth & Ag Center. The Embroidery Guild will be at part of this workshop. Members will be creating a wood wall plaque painted or stenciled and a mystery project. There will be a small fee for this session to cover the cost of supplies.

Projects and Activities

Have a 4-H event or meeting you would like to promote? Want to share a picture of what your club or project area is doing? Email your articles, flyers and pictures to [email protected]

Page 9: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

9

Announcements

4-H Online Re-Enrollment: Families can enroll/re-enroll in 4-H for the 2017-2018 year. All

enrollments need to be done by December 1st.

The deadline to change projects in order to show at the Grant County Fair is April 1

st.

To get started with the re-enrollment process, log into 4HOnline at http://wi.4honline.com with your family email and password.

On the family home screen, click on the orange button labeled Continue to Family.

On your Member/Volunteer list, find the family member you wish to re-enroll and click on Edit next to their name.

At the bottom of the next screen, click on the button for Enroll for 2017-2018.

You will now see the Personal Information that you entered when you first enrolled. Look over the

information and make any corrections. When you are done, click on Continue.

Next is the Additional Information screen where you will need to accept the agreements and

answer the Photo Release and Accommodations questions. Click Continue when done.

The Health Form for members is optional at enrollment, but you could be asked to complete it in

the future if you attend any events that require one. Click Continue when done.

If you are an adult volunteer and see the Volunteer Screening page, then it has been 4 years since the last time a background check has been completed. You need to check over the

answers to the questions and correct as needed. This page will only appear every 4 years.

Click Continue when done.

On the Participation - Club screen, confirm the correct club is listed. If you serve in a volunteer role (but not as a project leader) click on Edit and select the volunteer type. Click on Update to

save the change. Click on Continue when done.

On the Participation - Projects screen, confirm all the projects you are enrolled in are listed. Add any missing projects. If you are dropping a project, click on Edit for that project and then click on

Delete. After making sure all your projects are listed correctly, click on Submit Enrollment.

If you are having difficulties in enrolling online or have questions call the UW-Extension Office.

Space Camp: April 26 - 30, 2018. Huntsville, Alabama. Space Camp is just what you think it is –

it’s a camp experience where you learn and experience a ton of different aspects about life as an astronaut, working at NASA, and exploring places beyond Earth! Wisconsin 4-H Space Camp participants experience the Pathfinder Program. The Pathfinder Program is a 3 day experience where youth participate in a variety of simulated space activities such as a simulated space mission, building and launching a model rocket, taking a tour of the US Space and Rocket Center and more! The camp is open to 4-H members in grades 6-8 and costs approximately $625. Registration deadline is January 10, 2018. For more information visit https://fyi.uwex.edu/wi4hedopp/space-camp/ or call the UW-Extension Office.

Page 10: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

10

Announcements

International Immersion Programs: Interested in exploring all the world has to offer? If so, Wisconsin 4-H International Programs are for you! This is your chance to learn about the world by immersing yourself in daily life as a member of a family in a different country. By participating in a homestay instead of traveling as a tourist, you’ll have the opportunity to learn about the country’s culture from an insider’s perspective, evolve as a global citizen, quickly adapt to new situations and ways of communication, and develop friendships and memories that will last a lifetime. For more information check out http://wi4hinternational.org/ Registration deadline is November 20. Wisconsin Pork Association Scholarship: The Wisconsin Pork Association is sponsoring a scholarship program for Wisconsin high school seniors recognizing individuals pursuing a career in agriculture. Preference will be given to those students possessing leadership abilities and interests in the swine industry. Scholarship Requirements 1. All applicants must possess a sincere interest in the pork industry. 2. All applicants must pursue a post high school education, i.e. college, vocational school, short course, etc. 3. All applicants are required to fill out and return the attached form no later than DECEMBER 1, 2017, to: WPA Scholarship, PO Box 327, Lancaster, WI 53813. 4. Only seniors in a Wisconsin high school are eligible to apply. 5. Five finalists will be chosen from the applications received by the scholarship committee panel. 6. Each of the five finalists will be interviewed to determine the $500 scholarship award winner. Each finalist will be contacted in advance of scheduling. 7. The remaining four finalists will receive a $250 scholarship from the Wisconsin Pork Association. 8. The scholarship will be awarded after the WPA office has received a copy of the finalist’s first semester transcript showing the student is in good academic standing.

For more information contact:

Wisconsin Pork Association PO Box 327 Lancaster, WI 53813 (608) 723-7551 or 1-800-822-7675

ATTENTION: Those Wanting to be a Certified Leader: Do you know someone that is looking to becoming a new certified leader in the Grant County 4-H program? To become a new leader; interested individuals must complete the VIP (Volunteer in Preparation) Training and pass a background check. This VIP training is different than the Volunteer E-Forums. With Charisse being on maternity leave; there currently is no one in the office that can facilitate this training. BUT we

know the importance of getting these individuals trained; so we are currently working with the State 4-H office to find out options of getting new volunteers certified. If you know any adult that wants to become a certified leader for the upcoming 4-H year please send Dustin Winkelman their contact information to [email protected]. This way we can get a running list of individuals and work with them to get the VIP Training component completed.

Page 11: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

An EEO Affirmative Action employer, the University of Wisconsin - Extension provides equal opportunities

in employment and programming including Title IX and ADA requirements.

GRANT COUNTY JR. LEADER LOCK-IN REGISTRATION FORM Friday, December 29th, 2017

Registrations must be returned to the

Grant County UW-Extension Office, 916

East Elm Street, Lancaster WI 53813

Registrations must be returned by November 27, 2017 to be considered for the door prize.

Walk-ins will be accepted.

Please check one of the following:

___ My child is in 5th or 6

th grade and will be participating from 6:00pm-10:00pm. Cost is $5.00

___ My child is in 7th grade through high school and will be participating from 10:00pm-7:00pm. Cost is $10.00

___ My child is in 7th grade through high school and will be participating all evening. Cost is $10.00

Contact Information

Student’s Name_____________________________________ Boy___ Girl___ Birth date____/____/____

Parent/Guardian Name:_____________________Home Phone______________ Work Phone______________

Mother’s Cell phone:______________________ Father’s Cell phone _________________________________

Current Grade in School: ______________ .......................................................................................................................................................................................................................................................................

YOUTH PLEASE READ: I accept the opportunity to participate in the Grant County 4-H Jr. Leader Lock-in at the

Youth and Agriculture Center in Lancaster, WI. I will complete and activities as requested by the agents and I understand

that my participation in the 4-H Jr. Leader Lock-in is dependent upon my ability to conduct myself in a responsible manner,

to follow the rules and to behave in safe and appropriate ways. Failure to do so may result in dismissal from the Jr. Leader

Lock-in and will require that my parents provide for my transportation home from the Jr. Leader lock-in.

Student signature: __________________________________________________________________________________

................................................................................................................................................................................... Name of Family Physician:___________________________________________ Phone ( ) ____________

Illnesses and injuries (check those that apply and give appropriate dates)

______Diabetes ______Hypertension

______Ear Infection, Strep throat ______Bleeding/Clotting Disorders

______Heart Defect/Disease ______Seizures

Allergies or medication: ___________________________________________________________________________

This health history is correct as far as I know, and my son/daughter/ward has my permission to engage in all prescribed

activities. In the event of a serious injury or illness, I will be notified. If I cannot be reached in an emergency, I hereby

give my permission to the physician to hospitalize, secure proper treatment for and to order injection, anesthesia or surgery

for my son/daughter/ward. I also agree not to hold Grant County, UW-Extension, Grant County 4-H or agents responsible

for any personal injury or accident while attending this session.

_____Asthma ______Asthma medications/inhalers (please describe)

_____________________________________________

_____________________________________________

Please complete one form per child

Page 12: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

An EEO Affirmative Action employer, the University of Wisconsin - Extension provides equal opportunities

in employment and programming including Title IX and ADA requirements.

Media Release (please check one) ___ I grant permission ___ I do not grant permission

I grant the University of Wisconsin Board of Regents, University of Wisconsin-Extension and Grant County 4-H program

and agents unlimited permission to copyright and use, publish, and republish for purposes of advertising, public relations,

trade or any other lawful use, information about my child’s participation in this program and reproductions (photographic

or otherwise) of my child’s voice, likeness and any related creative works produced.

I have read all statements above and fully understand the contents. This release and contract shall be binding

upon me and my legal representatives.

_______________________________________ ** ____________________________________________ __________

Signature of Parent/Guardian Print Name Parent/Guardian Date

City______________________________________________ State_________Zip_____________________

***IF PARENTS ARE NOT AVAILABLE IN CASE OF EMERGENCY, PLEASE NOTIFY:

NAME:______________________________________________ PHONE:_______________________

RELATIONSHIP TO CHILD __________________________________________________________

Page 13: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

Name ___________________________________________ Club ___________________________________________

Phone ___________________________________________

Youth Sizes Adult Sizes

YXS YS YM YL YXL S M L XL 2XL* 3XL*

Item

Total

Item

Cost

Total

Cost

Green T-shirt $10.00

Grey T-shirt $10.00

Green Long Sleeve Shirt $15.00

Grey Long Sleeve Shirt N/A N/A N/A N/A N/A $15.00

Green Hooded Sweatshirt $25.00

Grey Hooded Sweatshirt $25.00

Shirt Front Shirt Back

Adult shirts are available in the above options

shown by style. *Youth shirts are available in

Irish green and dark heather only.

Contact Charisse Orth at the UW-Extension

Office if you wish to see the shirt colors.

Cash or Check Only Payable To:

Grant County 4-H Jr. Leaders

Order forms and payment must be turned into the

Grant County UW-Extension Office by:

Monday, November 27, 2017.

Questions: Ask a Jr. Leader or call the

UW-Extension Office at 723-2125

*2XL+ add $2.00

All Orders, Once Submitted, Are Final.

No Refunds or Exchanges.

Additional order forms can be found at:

Grant County UW-Extension Office

916 E Elm St, Suite A

Lancaster, WI 53813

Or grant.uwex.edu

Page 14: 4 H ECHO - Extension Grant CountyHorsfall. The Halloween committee decided to have contests at our next meeting. Members are encouraged to wear a costume and bring a decorated pumpkin

14

Nonprofit Organization

U.S. Postage Paid

Permit No. 89

Lancaster, WI 53813

An EEO/AA employer, University of Wisconsin-Extension provides equal opportunities in

employment and programming, including Title VI, Title IX, and the Americans with

Disabilities Act (ADA) requirements.

November/December 2017 4-H ECHO

University of Wisconsin-Extension

Grant County Extension

916 East Elm Street, Suite A

Lancaster, WI 53813

Change Service Requested

Highlights

**4-H RE-ENROLLMENT**

November 10 4-H Awards Night

December 22 Grant County Fair Steer Weigh-ins

December 29 Jr. Leaders Lock-in