Registration by shootingsports


									             SPRING OHIO 4-H SHOOTING SPORTS WORKSHOP – October 1-3, 2010
Canter’s Cave 4-H CAMP, Inc., 1362 Caves Road, Jackson, Ohio 45640 Phone: 740-286-4058

Friday, Oct. 1, 2010                                    TENTATIVE AGENDA
        6:00-7:45 PM             Registration and Move in - NO EARLY registrations!
        8:00 PM                  Welcome and Orientation, Green Injection
Saturday, Oct. 2, 2010
       7:00 AM                   Breakfast
       8:00 AM                   Training in Discipline Areas - see form BELOW for list of disciplines for current workshop
       NOON                      Lunch
                                                                        NOTE: Will send a confirmation after the due date! If
       1:00 PM                   Continue Training in Disciplines
                                                                        you have an e-mail address, we would prefer sending
       6:00 PM                   Supper
                                                                        your confirmation to your e-mail address. Please be
       7:00 PM                   Your Role in 4-H
                                                                        sure you list it accurately on the registration form!
       8:30 PM                   Special Evening Programming &
                                 Silent Auction (Please bring something to donate AND $$$ to buy items.)
Sunday, Oct. 3, 2010
        8:00 AM                  Continue Training in Specific Areas              Please cut & mail the lower portion of this form
        NOON                     Lunch                                            with payment. Keep the upper portion as a reminder
        1:00 PM                  Practicum -teach each other                      of what discipline you are taking, when and where.
        4:30 PM                  Conclusion – Depart for Home

Note: If you have special dietary needs you will need to contact the camp manager before the due date Sept. 6, 2010. We will
attempt to accommodate your needs. Please remember that 4-H camps are not restaurants, and meals are not made to order.
You are always welcome to bring any special dietary foods you may require.
---------------------------------------------------------------------------------------------------------------------------- -----------------------
      Registration is due to Larry Harris before September 6, 2010. Make copies of this form as needed.
If child care is needed please contact me at least 30 days before the registration due date, otherwise child care may not be available.
Please fill in all information requested, remember to choose only one discipline choice below by circling it.         Example: Coordinator
Class size per discipline is limited and filled based on date paid registration is received. Register early to get your first choice discipline.

   4-H SHOOTING SPORTS WORKSHOP, at Canter’s Cave 4-H Camp Inc., October 1-3, 2010
Registration DUE September 6, 2010              REGISTRATION FEE            $60.00/PERSON
Registration AFTER September 6, 2010 ---        $120.00/PERSON
Circle Choice: Archery            Coordinator                       Pistol
One Only!      Rifle              Shotgun                           Living History
               Hunting*          Living History Beyond the Basics** Muzzleloading*
Archery Adv.** Pistol Adv.**      Shotgun Adv.**                    Rifle Adv. **
  * Requires previous certification in one of the other shooting disciplines     ** Requires previous certification in the beginning level of this discipline
Name                                                      MI                                                    County
Address                                                                                                          This is my first Workshop 
City                                                                            State                           Zip
Phone   (                         )              -                             Age (if under 19)*                Gender M                     F
*Junior Leaders need to submit the JL Application – download at /stateleadership.htm.
E-mail Address – print clearly>
        Registration Fee: $60.00 per Adult by 9/6/2010                                              $ ________
        Registration Fee: $85.00 per Jr. Leader by 9/6/2010                                         $ ________
        Need Child Care ($95.00 per child) x child (ren) =                                          $ ________              Check # _______
        TOTAL                                                                                       $ ________              Total Enclosed
Return to: Larry Harris
           Canter’s Cave 4-H Camp                                                                             Make Check Payable to:
           1362 Caves Rd.                                                                                Ohio 4-H Shooting Sports
            Jackson, OH 45640                                                                        Memo Line: 4-H Shooting Sports Workshop

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Keith L. Smith, Associate Vice President for Ag. Admin. and Director, OSU Extension TDD No. 800-589-8292 (Ohio only) or 614-292-1868
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