2014 Summer Camp Camper Signup

Applications are due by Friday, June 27, 2014, unless you have previously filled out a 2014 Camper Interest Application.

Sign-ups will close Friday, July 4, 2014.

Thank you for applying to attend the 4-H Therapeutic Adventure Camp of Orange. We received your application and would like to invite you to join us for our 2014 Summer Camp, Monday, August 4 through Friday, August 8 from 8:30 am to noon daily at Elmwood Farm Equestrian Center. Once we receive your registration, you will receive conformation one to two weeks prior to camp.

Just a few reminders prior to attending camp:
Your child must wear closed toe and closed back shoes as they will be interacting with horses on the ground as well as riding. Failure to wear closed toe and close backed shoes will result in your child not being able to participate in the horse activities that day.

Transportation is available to and from camp for all campers. We will contact you the week prior to camp with a pick-up time. Please ensure your child ready when the bus or van arrives to pick them up.

If you chose to bring your child to camp, please arrive no earlier than 8:20 and remain in the introduction area. If you are picking your child up please arrive at noon!

We would like to invite all parents and family members to join us for our annual horse show and pizza party on Friday, August 8. We will send more information about the horse show and pizza party prior to camp.
 
Please complete the second page of this registration form and return it to the Orange County Extension Office; PO Box 30, Orange, Virginia 22960, no later than Friday, June 27. You may also register online at: http://tinyurl.com/summercamper
If your child is unable to attend camp one day, please notify Jessica Harlow at (540)308-0433 (call or text) as soon as possible so we can plan accordingly.

If you have any questions please contact Jessica Harlow at 4htaco@gmail.com or (540)308-0433 or Sarah Weaver at seweaver@vt.edu, or at (540) 672-1361.

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Camper Name *
Contact Phone Number *
Contact Email *
Camper's T-shirt size (adult sizes only!)
Does the camper need transportation to and from camp? *
Have your turned in the 2014 Camper Interest Application, health history, code of conduct, and equine waiver? *Sign-ups will not be accepted unless these items are turned in prior the deadline* *
Do you need the TACO Committee to contact you prior to camp? *
Has any information changed since you completed your interest application. If yes, please update the information below.
Parents or guardians should sign below acknowledging that your child has permission to attend the 2014 TACO Summer Camp August 4-8, 2014 from 8:30 am to noon Elmwood Farm.   My child will be attending the 2014 TACO Summer Camp. I understand that if my child is not able to attend I should contact Jessica Harlow at 4HTACO@gmail.com or at (540)308-0433 as soon as possible to notify her of my child's absence.   Agreement/Consent • I have read and understand the 4-H TACO rules and regulations for camp (especially the arrival time and closed toe shoe policy).   • As a 4-H TACO Camper, I will uphold the camp rules and procedures and abide by the 4-H Code-of-Conduct during the entire camp week.   • I hereby certify that all of the entries on this application are true and complete.   • I understand applications that are not completed in their entirety will not be accepted.   • I understand that Virginia Cooperative Extension programs and employment are open to all, regardless of race, color, religion, sex, age, veteran status, national origin, disability, or political affiliation. Virginia Cooperative Extension is an equal opportunity employer. *
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