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Dixon County
57905 866 Road, Concord, NE 68728
Phone: (402) 584-2234
Website: https://extension.unl.edu/statewide/dixon/4h/
Facebook: https://www.facebook.com/UNL-Extension-Dixon-County April 2020
CALENDAR 2020Apr 1 Dixon 4-H Council Scholarship Deadline
Apr 1 Live Butterfly Lesson with Angela 10:00AM
Apr 3-4 Siouxland Garden Show CANCELED
Apr 6 Extension Board Meeting CANCELED
Apr 8 Live Butterfly Lesson with Angela 10:00AM
Apr 13 4-H Equine Webinar Series via Zoom
Apr 13 *Leader/Family Training & Update Zoom Meeting
6:30-7:30 PM
Apr 15 Live Butterfly Lesson with Angela 10:00AM
Apr 19-25 National Volunteer Week
Apr 22 Live Butterfly Lesson with Angela 10:00AM
Apr 29 Live Butterfly Lesson with Angela 10:00AM
May 25 Office Closed – Memorial Day
May 29 Ponca Day Camp Registrations Due
June 1 Drop/Add 4-H Projects Deadline
June 9 Ponca Day Camp, Ponca State Park
June 15-19 District Horse Shows CANCELED
June 15 4-H Council, 7:00 PM (via Zoom if necessary)
June 15 Deadline for Livestock IDs and DNA online
June 15 Deadline 4-H Horse Expo Entries
June 22-23 Premier Animal Science Event (PASE), Lincoln
June 24 State Public Speaking/PSA Contest, Lincoln
Angela Abts - Extension Educator (4-H & Youth Development)
Mitiku Mamo – Extension Educator (Crops & Water)
Sarah Roberts - Extension Educator (Learning Child)
Monica Ebmeier - Office Staff ([email protected] 402-584-2234)
Office Hours: Mon-Fri 8:00 AM to 4:30 PM
2020 Dixon County Fair Dates Entry Day: July 29, 2020
Fair: July 30- August 2, 2020
Due to COVID-19 concerns, the staff for Nebraska
Extension Dixon County at the Haskell Ag Lab, Concord,
are WORKING REMOTELY.
We are still available to help, answer questions, and serve Dixon County.
• We will be stopping periodically to check the DROP BOX (by Haskell’s back door).
• You can CALL the office number (402-584-2234) as we will check for messages regularly.
• We are ALWAYS available through EMAIL: Monica [email protected] (best option).
If you need to make an appointment to see us, please contact us.
COVID 19 CHANGES
FOR DIXON COUNTY 4-H CLUBS As a sponsored group of Nebraska Extension, it is
required that 4-H clubs follow the guidance of the
University to move to “Remote” modes. This
includes NO face-to-face meetings or lessons. You
still have the option for video or teleconferencing for
these events. We hope that you continue to strive to
provide a positive experience in 4-H!
If you’re interested in having a club meeting as a
Zoom, please contact us! We’re happy to help!
2020 Dixon County Fair T-Shirt Design Contest
The Dixon County 4-H Council is looking a new T-shirt design for this year’s fair. All artwork must be original.
Design Submission Deadline
May 1, 2020, to the
extension office.
Secure your T-shirts with the order form in this newsletter. Orders will not be accepted without payment. Extra shirts will not be ordered.
T-shirt Order Deadline is July 1, 2020, with availability beginning Saturday, July 25.
COVID 19 NEBRASKA EXTENSION RESPONSE Nebraska 4-H takes the health and safety of our community very seriously and we are
carefully monitoring the rapidly evolving COVID-19 situation.
As United States and global health officials continue to address the spread of the
novel coronavirus and COVID-19 infection, health and emergency preparedness officials
at the University of Nebraska–Lincoln are monitoring the situation in collaboration with
our university and governmental partners. In doing our part to be responsible about
convening large groups of people, we are carefully reviewing calendars and determining
how we proceed with each scheduled event. This will be a fluid process as we continue
to monitor all available information in the days and weeks ahead.
The decision to cancel all events scheduled for March 16-29. While this was an
extremely difficult decision, we are putting the health and well-being of our
staff/families/youth at the forefront. From March 30 - May 9, Nebraska 4-H programming
will resume in a virtual format. This includes all scheduled educational programs,
competitive events, and 4-H club and council meetings hosted by Nebraska 4-H.
Additionally, there will be no tagging or weigh-in; families will be responsible for their
own tagging and DNA collection.
We are continuing to plan for summer events and will make determinations one month
in advance of the event and then continue to monitor the situation up to the event.
EVERYTHING DIGITAL OR REMOTE
COVID-19 Resources https://covid19.unl.edu/
Virtual & At-Home Learning –
https://4h.unl.edu/virtual-
home-learning
Looking for learning opportunities you can do
from home? We've got you covered! Nebraska
4-H is now offering a variety of virtual learning
experiences, such as Living Room Learning and
Boredom Buster Challenges. We've also
collected some of our favorite activity guides
that are perfect for hands-on learning at home.
There is something for youth of all ages!
Check out the website for more options! Dig
deeper and you’ll find the Registration Links,
and view recordings of sessions.
4-H CAT CLUB GONE VIRTUAL Do you like cats? What about learning how to care for or show them? Maybe you have heard about the 4-H Cat Club in the past and wanted to join, but couldn’t make the monthly meetings. Cat Club is a self-paced learning opportunity offering information about caring for and showing cats. Cat Club is open to all youth, as well as adults and volunteers looking to learn more about cats and the 4-H Cat project. New lessons are added each month a cover various topics. The monthly lessons will be made accessible online on the 5th of each month starting in September and continuing through May. To register, check out http://4h.unl.edu/companion-animal/cat-club which also gives instructions for logging in and provides downloadable handout materials.
2020 SPECIAL GARDEN PROJECT
Classic Magic Bachelor Buttons The Special Gardening Project is an opportunity for 4-H members to grow unusual and fun projects in their gardens. Each year, a new plant is selected as the focus for all members enrolled in the project. Youth receive seeds which they plant and cultivate using project resources provided throughout the experience. Youth then have the opportunity to exhibit cut flowers or harvested vegetables or present their experience through a poster or report. The project is designed to challenge youth interested in horticulture by
introducing them to new and unique growing experiences and foster real-world problem-solving skills through a guided horticultural experience. Be sure to add this project to your 4HOnline enrollment. Missed it? Call or email Monica.
Currently web-based training is the only option.
Instructor-led trainings are halted.
We encourage you to do you trainings ONLINE.
Copies of certificates need to be provided to the extension office.
QUALITY ASSURANCE (YQCA) All 4-H members enrolled in livestock projects are required to complete annual quality assurance training and certification through the Youth for Quality Care of Animals (YQCA) program. This includes youth enrolled in beef, dairy cattle, goat, sheep, swine, poultry, or rabbit projects. Youth may complete online training courses at https://4h.unl.edu/yqca Instructions found at https://4h.unl.edu/yqca-instructions
Did You Get Your Email From 4HOnline regarding YQCA? YQCA Web Based Certification – Flash Sale! In light of the recent COVID-19 pandemic, the YQCA Board is announcing a 25% flash sale on web-based certification in April! Here is how to take advantage of this opportunity. 1. Only offered during the month of April (April 1 – April 30), YQCA will be offering a 25% discount on web-based trainings, making them $9. o Those wishing to take part in the flash sale will need to purchase $9 web-based training coupons
from YQCA. Coupon order forms are attached to this message or may be obtained by emailing [email protected]. THIS IS THE ONLY WAY TO RECEIVE THE DISCOUNTED PRICE.
o Once the order form and proof of payment is received, coupons will be issued and returned to the purchaser within 3-5 business days.
o Coupons MUST be used towards a web-based training by April 30, 2020. 2. Youth who have already paid for a YQCA instructor-led training (on a date that has not yet passed), may log into their account and cancel their registration. o If payment was received via credit card, the payment will be refunded. o If payment was received via coupon code, that coupon code will be active again. This coupon code
does not expire and would be able to be used in future years. To cancel a registered training: 1. Go to https://yqca.learngrow.io and login to the account. 2. Select the course - you will have an option to "Cancel Registration.” This will cancel the training and refund the payment/re-activate the coupon code. We recognize those who have typically utilized the instructor-led training option may be unfamiliar with what users receive with their registration fee. We have identified those items below and ask that they be shared with instructors who are pointing their youth towards the web-based training. ➢ Each session purchased includes three modules – a knowledge builder, a skills lab, and a quiz.
o The knowledge builder is where content is delivered, the skills lab provides an opportunity to apply the content, and the quiz tests knowledge. To receive a certification, an 80% must be achieved on the 10-question quiz. o These modules, completed in their entirety, will provide 2-3 hours of an experience for users.
YQCA Age Groups 8-11 Junior
12-14 Intermediate 15-18 Senior
(19-21 Adult FFA)
*** THE COUPON ORDER FORMS for the Flash Sale, were included with an email from our office. If you missed it or lost it, we can resend it. Let us know!
EXHIBITORS MUST OBTAIN A PREMISE ID All animals must have I.D.s in order to be shown. For the Extension Educator to sign, you have to have your YQCA (Quality Assurance training) completed.
4-Hers planning on going to State Fair or Ak-Sar-Ben will need to do the Stock Show Online Nomination Process. We have the instructions in the office and they will be mailed out to the families we have register in livestock that are 10 years old or older.
How to obtain a Family Premise ID through the Nebraska Department of Agriculture: https://extension.unl.edu/statewide/wayne/Livestock_Premises_ID.pdf DNA SAMPLES DEADLINE – June 15 DNA samples must be collected on animals exhibited at Ak-Sar-Ben and State Fair. The charge for each DNA sample is $7.00 and is paid online, at the State 4-H website. This website will be shared once it is active. LIVESTOCK ID DATES Livestock Identifications for county and state fair, and any other 4-H show, deadlines to the Extension office:
Horses – June 15 All other species - June 15, for Rabbits, Bucket Calf, Breeding Beef, Cow Calf, Feeder Calf, Dairy, Goat, Swine, Sheep Market Sheep and Market Goats will be identified by their Scrapie Tags and if going to State Fair or Ak-Sar-Ben the animals will need to be DNA’d before June 15. Each Breeding Animal will need to be tattoo and animal information. Registered animals also need a copy of the registration paper.
SPECIE AFFIDAVITS DEADLINE JUNE 15 The extension office will need affidavits for every animal requiring ID. If they’re to be shown at the County Fair, we will need the affidavits.
2020 FONNER PARK STATE 4-H SHOW
JULY 12-16 https://4h.unl.edu/horse/state-expo/horse-show
Horse camp – email from Tessa Reece, Fort Rob
4-H Horse Camp 2020
4-H HORSE PROGRAM UPDATES • District Horse Shows are canceled for 2020.
• All youth can enter Fonner Park State 4-H Expo without qualifying.
• All State 4-H Expo entries and Horse ID’s are now due to the county office by June 15th.
• Advancement Levels completed for State entries are due June 15.
• Stampede was moved to July 12 at Fonner Park in the Bosselman Conference Center. Entries due June 15.
• Skills and demonstration testing are on hold because of social distancing requirements.
• Please do what you can with online testing.
• Look for an email from our office to detail some of this information, if you are signed up for horses.
Our office will keep you updated as things change. Questions? Please contact us at
402-584-2334 or [email protected]
4-H ARM BANDS AN ORDER WILL BE PLACED MAY 1ST,
FOR ANYONE NEEDING ONE.
HORSE ADVANCEMENT
LEVEL PROGRAM
• Written exams are available upon
request from the county extension
office. Youth must pass with an 80%.
If they do not pass, they will need to
request a different exam.
• Skills test – currently on hold
• Demonstration – currently on hold
• Written Reports, Feed Charts, and
Health Care Papers – email to the
county office at the time of completion.
4-H HORSE STAMPEDE This event has been rescheduled!
The 2020 4-H Horse Stampede will be held
during the State 4-H Horse Expo in Grand Island.
Contests will take place on July 12th at Fonner
Park in the Bosselman Conference Center. Any
youth who previously entered for the event
originally scheduled for March will need to re-
enter. Entries will be due on June 15, 2020.
This event offers a variety of 4-H horse contests
that don't require live horses, including public
speaking, demonstration, quiz bowl, art, and
photography contests. Youth have the opportunity to
display their equine knowledge through these
contests both as an individual and as part of a team.
There is a $10 entry fee per contestant. All contest
entry forms, brown bag lunch form, and T-shirt
form must be submitted along with entry fees to
county Extension offices by June 15. They will soon
be available at https://4h.unl.edu/horse/stampede.
If you would like to have lunch or a t-shirt at the
contest please make sure to fill out a lunch or t-shirt
order form when registering for contests.
• Entries and fees are due to me by June 15,
2020.
For more information and to access the registration
forms: https://4h.unl.edu/horse/stampede
Questions on the Horse Stampede or Companion
Animal Challenge? Contact Dr. Lisa Karr
([email protected]) or Grace Kim
The Nebraska 4-H Equine Webinar Series is a great way for 4-H leaders, parents, and senior aged youth to gain knowledge in various equine-related topic areas. Each month, a new topic will be covered with various experts joining to share their experience and expertise. The webinars are hosted online using Zoom, a video conferencing service. To join an upcoming Webinar, please register in advance at https://nebraskaextension.zoom.us/meeting/register/ed40d0bfc29bc113dc2040ba88984b7b%20%20. After registering, you will receive links and details for joining the live webinar. Not able to make it to the live webinar? All of the Equine Webinars are recorded and made available below for on-demand viewing. Additional materials that are shared or discussed during webinars are also available. Participants are also encouraged to complete the survey to help in planning and improving future Webinars. Additional Public Info:
https://4h.unl.edu/horse/webinar-series Webinars are at 6:00 PM (CST)
on the second Monday of the month.
Companion Animal Challenge Due to concerns surrounding the spread of COVID-19, Nebraska 4-H has decided to host the 2020 4-H Companion Animal Challenge virtually. https://4h.unl.edu/companion-animal/challenge Youth will need to re-enter if they were previously entered for Companion Animal Challenge by using the new entry form (online) through Google Docs. The event will return to its regular format for 2021. Companion Animal Challenge Entry Form: https://forms.gle/5oZdENZy63Xps8RA8 Entry Due Date: April 13th by 5pm
Fair Trophy/Awards Input Please
An email was sent out March 23, asking for input from our 4-H youth, on the awards for the upcoming county fair.
We have heard from some adults, but we want input from the youth as well.
Level 1 are the trophies. What styles do you like? If you have specific questions about them, just ask.
Level 2 would be the banners from last year or the buckles in previous years.
There was discussion about the buckles not being of good quality, but some liked them. Thoughts?
If you want to revisit the belt buckles, check these out https://shop4-h.org/collections/belt-buckles
Contact the office if you need the email resent. We value your thoughts!
The deadline to submit applications for the 2021 #4HYouthinAction Awards is just a month away! Share how you've impacted your community in the areas of Agriculture, Civic Engagement, Healthy Living or STEM for a chance to win a $5,000 scholarship and a trip to Washington, DC! Apply: https://bit.ly/2UE3qe5 #InspireKidstoDo Open to youth age 15-19. Deadline to apply is 4/27/2020
DIXON COUNTY 4-H COUNCIL The 4-H Council meeting is on June 15, July 20, September 20, and tentatively November 16. All Council meetings begin at 7:00 PM. Hopefully by that time, we can resume normal meeting activities by meeting in person. Each club is to have at least one representative at these meetings. Teen Leaders are to attend these meeting also. Club leaders and youth, Independent members, and parents are welcome. CLUB OF THE MONTH Each month a 4-H club is chosen as the Nebraska 4-H Club of the Month by the Nebraska 4-H Foundation. In order to be chosen, 4-H clubs must nominate themselves by filling out the applications found at http://ne4hfoundation.org/recognition/. The club that is chosen as Club of the Month will be acknowledged for their achievements, service projects, and awards! Winners will receive a $50 check from the Nebraska 4-H Foundation and will be recognized statewide! Good luck! SENIOR SCHOLARSHIPS Seniors be sure to check our Awards & Scholarship Opportunities on the county extension website periodically. As we learn of opportunities, we will post them. https://extension.unl.edu/statewide/dixon/4h-resources/
ATTENTION HIGH SCHOOL SENIORS You can check out available scholarships at https://extension.unl.edu/statewide/dixon/4h/
Scholarship Opportunity for Agriculture Majors
The Independent Professional Seed Association (IPSA) is pleased to announce the opening of the scholarship period for the 2020/2021 school year. The IPSA scholarship program was created by the Myron "Ted" Asplin Family to benefit the future of agriculture by supporting and encouraging the education of future ag professionals. Ten $2,000 scholarships will be awarded to students studying in the field of agriculture. Both high school seniors and active college students majoring in Agriculture are encouraged to apply. Applications deadline has been extended to the IPSA by APRIL 30, and award winners will be announced by June 1. For more detailed information go to: https://ipseed.org/ipsa-affairs/scholarships Please keep in mind, in addition to the application online, the most recent student transcripts and 2 letters of recommendation must be uploaded for each applicant. PDF is the preferred version.
DOG 4-H PROGRAM We are excited to introduce a new resource for the Dog 4-H program – a Dog Showmanship Video series that covers the basics of Dog 4-H showmanship including video examples and descriptions of the patterns. This video series can be found on the 4-H Companion Animal Program web page under the Program Resources section https://4h.unl.edu/companion-animal or on our Companion Animal YouTube page https://www.youtube.com/playlist?list=PL579hRei5D7xwKTqpe8kJw0GnfKK4x8l4."
Identifying Volunteer Opportunities for Youth: 4-H Civic
Engagement Ideas 4-H empowers young people to be true leaders. True Leaders are people who have confidence, will stick
to a job until it gets done, and can endure through challenges. Communities across Nebraska need true
leaders now more than ever.
4-H volunteers and youth across Nebraska may be looking for ideas about how they can become civically
engaged, all while abiding by the guidelines shared by the Centers for Disease Control and Prevention.
A web page with numerous ideas can be found at: https://4h.unl.edu/4-h-civic-engagement. Now is a great
time to collectively use our heads for clearer thinking, our hearts for greater loyalty, our hands for larger
service, and our health for better living.
More details at: https://4h.unl.edu/4-h-civic-engagement
2020 Online Horticulture Judging
Contest Do you know what it takes to pick the best fruit and vegetables out at the grocery store? Or do you know what judges are looking for when they judge your plants at the county fair? Have you ever wondered, what plant is that!?! We are excited to offer the opportunity to learn these and other important horticulture skills through the Online Horticulture Contest. The contest will be available June 5-22, 2020 at: https://go.unl.edu/hortcontest.
Horticulture judging contest consists of three parts. The first is identification of plant material. Participants identify the plants by common name from a plant list. Specimens may be alive or preserved plant parts like stems, twigs, leaves, flowers, seeds, fruits, roots, bulbs, tubers, or plant products.
The second is a knowledge portion, usually in the form of a true/false or multiple choice quiz. Questions will test the contestant's knowledge of cultural practices for horticultural crops, plant science, pesticides, horticultural careers and other topics related to the production, processing and consumption of horticultural crops.
The last portion is judging or placings. This is where four different plants, plates of vegetables, or containers flowers are ranked from best to worst based on a set of criteria. Classes are judged on the basis of condition, quality, uniformity, true-to-type, and size.
More information about the Nebraska State contest along with a list of study materials can be found in the Fairbook http://4h.unl.edu/fairbook/plant-science/horticulture-id. Here you can find the written study materials for the knowledge portion, follow links to plant pictures for help with identification, and read how judging of plant material is done. More details at: https://4h.unl.edu/online-horticulture-judging-contest
9th Annual Innovative Youth Corn Challenge NEW features for 2020 With the disruption in programming as normal, our corn challenge team wants to make sure you know that the corn
challenge is still on and gearing up to be better than ever!
(NOTE: planning, etc. can be done virtually and we are here to help you make that happen)
New features to the program:
Once COVID-19 passes and things return to normal, our team is pleased to announce some NEW features to the Corn
Challenge. 1. Teams will communicate with other teams for peer-learning opportunities. (Ideally, these would be face-to-face, but
time will tell what is allowed at any given point.)
2. Corn challenge coordinators will make a site visit (when allowed) to obtain aerial imagery of your project.
3. Programming will include NEW unmanned aerial (drone) lessons and potential field day for participants.
If you’d like to participate, there is still time to sign-up!
9th Annual Innovative Youth Corn Challenge
Nebraska Extension and the Nebraska Corn Board are offering the ninth Innovative Youth Corn Challenge contest.
This contest, open to 4-H members (age 10 & older as of Jan. 1st) or FFA members (in-school members), guides
participants through all aspects of corn production, as well as agricultural careers related to corn production.
As a team (2 or more participants), youth will be challenged to implement a production practice different than normal
to determine if they increased their yield. Economics and sustainability of the practice will also be considered. Yields,
cropping history, and production information will be collected in the Corn Yield Challenge management summary.
Cash prizes and plaques are given. First place receives $1,000, second place receives $500, and third place receives
$250. Sustainability, crop scouting and “extra mile” awards are also given as cash awards.
To participate in 2020, youth must register by April 15th to the Fillmore County Extension Office in Geneva, NE.
Details can be found at cropwatch.unl.edu/youth/cornchallenge. For more information, contact Brandy Van De Walle
PREMIER ANIMAL SCIENCE EVENT (PASE)
Premier Animal Science Events (PASE) is a
two-day event designed to help youth learn
about issues related to the animal industry,
explore career opportunities that are available,
compete with other teens from across the
state, and have FUN!
PASE will be held June 22-23, 2020
at University of Nebraska–Lincoln East
Campus. Opportunities for youth include
livestock judging, meats judging, and poultry
judging, as well as livestock skill-a-thon and
livestock quiz bowl. Youth can participate in
more than one contest or event as their
schedule allows. 4-H members may also
participate in the Life Challenge contests that
will be taking place on campus at the same
time. In addition, youth will have chances to
explore East Campus, meet with faculty
members and current college students, and
have fun with friends!
Pre-Registration is required for all participants.
Pre-registration is completed by
county Extension offices.
For more information check out the PASE
website: http://4h.unl.edu/pase
New Photography Exhibit Data Tags for 2020 Any questions check the county fair book or check the state fair book: https://4hfairbook.unl.edu/fairbookview.php/exhibits/5
Name: Include both first and last name. Age: Include your 4-H age, or the age you were on January 1st of the current year. County: Include the county where you are exhibiting – this will be required if the exhibit is select for State Fair. Year in Photography: List the total number of years you have been enrolled in any 4-H photography project. Years in the Current Level: The total number of years you have been enrolled in the current 4-H photography level. Camera:
• Indicate the brand make and model of the camera, such as Google Pixel 2, Nikon Coolpix B500, or Canon EOS Rebel T7.
• Indicate whether the camera is digital or film. Tell us about this photo (special equipment, techniques, subject, location, goals, etc.). Use this space to tell the judges what you want them to know about the photo. For abstract photos, it might be a good idea to tell the judge what the subject is or how you took the photo. For especially unique images, tell the judge how you captured the image. For images where you used advanced equipment or tried a new technique, tell the judge about it here. Describe any edits or changes made to the picture using digital software. Use this space to explain any digital manipulation done to the photo, including digital post-production filters, cropping, or any adjustments to exposure, contrast, etc. Explain what edits or changes were made, as well as what software was used. This include mobile/smartphone apps.
(The following questions are for Level 2 and 3 exhibitors only.) Focal Length*: This is a number indicating the length of the lens which determines how much of a scene you are able to see through your viewfinder. This is typically measured in millimeters (mm). Example: 29mm, 35mm, 50mm. See Level 2 Activity 1 for more information. Type/Source of light: Be as specific as possible. Identify whether the lighting was natural or artificial. If artificial, identify the light sources, such as camera’s flash, neon lights, car headlights, flashlight, etc. For natural light, identify the type, dawn, dusk, midday, reflected, diffused, direct, light shining through a window, etc. Example: natural, midday direct sunlight See Level 2 Activities 3 and 5 for more information.
(The following questions are for Level 3 exhibitors only.) Shutter Speed*: This is the length of time a camera shutter is open to expose light into the camera sensor. Shutter speed is typically measured in fractions of a second when they are under a second. Slow shutter speeds allow more light into the camera sensor and are used in low-light situations, while faster shutter speeds help freeze motion. This might also be referred to as exposure time. Example: 1/30, 1/125, or 1/500 See Level 3 Activity 1 for more information. F Stop*: This is a number which indicates the size of the aperture, which allows light to travel into the camera. The aperture controls the depth of field. A larger aperture opening will result in a smaller depth of field. The aperture size is expressed in f numbers or f-stops. Examples: f/1.4, f/4, f/22 See Level 3 Activity 1 for more information. ISO*: This is a number that indicates a film’s sensitivity to light or more commonly its speed. It is typically measured in numbers, a lower number representing a darker image, while higher numbers mean a brighter image. Examples: 100, 200, 400 See Level 3 Activity 1 for more information. List advanced equipment and/or techniques used and/or what manual adjustment were made. Level 3 exhibitors should be exploring and experimenting with advanced techniques. This may include but does not necessarily require using a DSLR camera, manual adjustments, or other advanced equipment. Use this space to identify and, if needed, explain what advanced equipment or techniques were used to capture this image. If manual adjustments were made, identify which settings were adjusted (ISO, F Stop, Shutter Speed).
PONCA 4-H DAY CAMP REGISTRATION FORM
One Camper per form. Make check of $20 per camper payable to: University of Nebraska-Lincoln
Send completed form and check to: Nebraska Extension- Wayne County, 510 N Pearl St. Suite C, Wayne, NE 68787
Deadline: 5:00 PM, May 29, 2020
Please print or type
Participant’s First Name Middle Initial Last Name
Mailing Address City ST Zip Code Phone
Age Date of Birth
Gender: Male Female
Grade in School 4-H County Name
Email address
I give permission to use my child’s name/photograph in publications, advertisements, 4-H web page or news articles pertaining to 4-H activities. Yes No
EMERGENCY CONTACTS – We must have two different contacts with both day and night phone numbers.
Parent/Guardian Day Phone Night Phone
Street Address If parent/guardian cannot be reached,
City contact:
ST Zip Code Email Address
Parent/Guardian Day Phone Night Phone
Street Address City ST Zip Code Email Address
INSURANCE INFORMATION Is the 4-H participant covered by family medical/hospitalization insurance? Yes No As parent/guardian of the 4-H participant, I understand that health insurance coverage is the parent/guardian’s responsibility.
Medical Insurance Company Policy No.
Name of Insured Relationship to participant
Medical Care Provider-Name of Family Physician or Health Care Facility Phone
CONDITIONS, RESTRICTIONS OR ALLERGIES (Please list all) Describe Condition, restriction or allergy and how to manage (attach additional pages if necessary)
Medication allergies
Allergies (food, latex, etc)
Conditions (diabetic, asthma etc)
Restrictions (ear plugs while swimming)
- over -
Parent/Guardian will attend ($20.00 fee) Name
HEALTH HISTORY INFORMATION Does the participant currently have or have had any of the following. Check “yes” or “no” to each question. Please explain any “yes” answers (noting the number of the question) in the space below or on an additional sheet of paper if necessary.
Yes No Yes No 1. Had a recent injury, illness or infectious disease? 11. Have diabetes or hypoglycemia?
2. Have a chronic or recurring illness or condition? 12. Have asthma?
3. Been hospitalized/had surgery within the past 2 years? 13. Had Mononucleosis in the past 12 months?
4. Have frequent headaches? 14. Had seizures?
5. Had a head injury and/or been knocked unconscious? 15. Had frequent ear infections?
6. Has passed out, been dizzy and/or had chest pain during or after exercise?
16. Wear glasses, contacts or protective eyewear?
7. Had heart-related problems (high/low blood pressure, shortness of breath, murmurs, etc)?
17. Have an orthodontic appliance?
8. Had muscular/skeletal problems (arthritis, hernia, recent fractures, back/joint problems)?
18. If female, have an abnormal menstrual history?
9. Had stomach/intestinal problems (ulcers, jaundice, indigestion, diarrhea/constipation)?
19. Had emotional difficulties for which professional help was sought?
10. Have any skin problems (itching, rash, acne)? 20. Had an eating disorder?
If yes, please give details (i.e. reactions, special instructions, special equipment, and procedures). Attach additional pages if necessary:
Date of last physical exam: Date of last Tetanus immunization:
MEDICATIONS Medications must be given to the 4-H leader/staff in charge of the event at registration. Please list all prescription and non-prescription medications. All medications must be brought in the original container which identifies the medication’s name, the dosage and frequency of administration and the
PERMISSION TO TREAT, PARTICIPATE AND RELEASE OF CLAIMS
The waiver and release of liability was executed this day of , 20 by (Parent/Guardian) of (Address)
prescribing physician (if applicable). Provide enough medication for the City of County of entire 4-H event.
Medication No. 1 Dosage Route (eye, ear, oral) Specific times taken each day Reason for taking
Medication No. 2 Dosage Route (eye, ear, oral) Specific times taken each day Reason for taking
The following medication is taken during the school year, but is not taken now
This person does not take medication on a regular basis
If deemed necessary, I (parent/guardian) give permission to administer non-prescription medications in accordance with directions on the label for headaches, upset stomach, diarrhea, menstrual cramps and poison ivy.
State of , individually and as Parent/Guardian of
in favor of the Board of Regents of the University of Nebraska (UNL). (referred to in this document as Participant). Officers, Employees, Instructors, Staff, agents, operators, successors, and assigns.
Parent/Guardian hereafter known as Releasor, wishes the participant to participate in the 4-H event named on this document and participate in all activities except as noted on this form. 1. In consideration for the participation in 4-H camp and UNL Campus Recreation Activities, Releasor hereby RELEASES and covenants not-to-sue UNL or 4-H for any and all present and future claims resulting from ordinary negligence on the part of UNL or 4-H for property damage, personal injury, or wrongful death arising as a result of engaging in, using University facilities and equipment, or receiving instruction for 4-H camp and UNL Campus Recreation Activities or activities thereto, wherever, whenever, or however the same may occur. 2. Releasor hereby voluntarily waives any and all claims or actions resulting from ordinary negligence, both present and future, that may be made by Releasor’s family, estate, personal representative, heirs, or assigns. Further, Releasor realizes that participation in 4-H camp and UNL Campus Recreation Activities involves certain risks and danger and is a vigorous activity involving severe respiratory and cardiovascular stress. 3. Releasor has hereby been made aware that participation in 4-H camp and UNL Campus Recreation Activities has the following non-exclusive list of certain risks which I accept: death; head, eye, neck and spinal injury resulting in complete or partial paralysis; brain damage; heart attack; blisters; cuts; lacerations; abrasions; concussions; contusions; strains; sprains; dislocations; fractures; cold and heat
injuries; water immersion; drowning; lightning strikes; injury to bones, joints, muscles, PARTICIPANT MAY BE RELEASED TO: Anyone listed on the health/registration form.
Name (s)
internal organs; and environmental conditions. 4. In addition, I understand and accept the incidental risks of travel to and from the site of activity; participation at sites that may be remote from available medical assistance; and the possible reckless conduct of other participants. 5. In the event of a medical emergency, the 4-H camp or University of Nebraska or its representatives have my permission to take whatever measures they deem reasonable
OR Extension Personnel to render assistance and that I and/or my family will be financially responsible for any expense involved. 4-H PARTICIPATION AGREEMENT: With my Parent/Guardian, I have completed this form and will assume responsibility for taking my medication and for restricting any activities agreed upon and listed on this form. I will exercise good judgment in regard to my own health, safety and well-being while at 4-H events and activities. I have read the 4-H code of Conduct and agree to follow these expectations.
6. I have read and understand that this WAIVER is intended to be as broad and inclusive as permitted by the laws of the State of Nebraska and agree that if any part is held invalid, the remaining parts of this WAIVER AND RELEASE will continue in full force and effect as intended. I further agree that the venue for any legal proceeding shall be in the State of Nebraska.
Sign Sign 4-H Participant Signature Date Parent/Guardian Signature Date
4-H Program Participant/Parent/Guardian Code of Conduct
The primary goal of the 4-H Program is to help youth develop competency in their projects, confidence in themselves and others, connections to their community and sound character. Actions by persons (Parents, and 4-Her’s) involved with the 4-H Program will be consistent with the six core ethical values comprising good character: trustworthiness, respect, responsibility, caring, fairness and citizenship. As a 4-H Participant/Parent/Guardian I will: • Treat all people and property with respect, courtesy, consideration, and compassion. Avoid and prevent putdowns,
insults, name calling, swearing, and other language or nonverbal conduct likely to offend, hurt or set a bad example.
• Keep informed about 4-H program policies and projects and read materials pertaining to the county 4-H program. • Teach and model kindness and compassion for others. Recognize that all people have skills and talents which can
be used to help others and improve the community. Teach and foster teamwork and discourage selfishness. • Practice fair-mindedness by being open to ideas, suggestions, and opinions of others. I will make all reasonable
efforts to assure equal access to participation for all youth and adults regardless of race, creed, color, sex, national origin or disability. Decisions will be made fairly and treat all individuals and families with impartiality.
• Obey laws and rules as an obligation of being a good citizen. I accept responsibility for the proper treatment and care for other youth and adults, the program facilities and/or equipment.
• Demonstrate the responsible treatment of animals and stewardship of the environment. • Not use alcohol or illegal substances (or be under the influence) while working with or participating in any part of
the 4-H Program. • Provide a safe environment for all parties involved in 4-H. I will protect those involved from sexual harassment,
physical force, verbal or mental abuse, neglect, or other harmful behaviors.
Youth participants/Parents/Guardians who do not abide by the above code of conduct will be subject to the following consequences:
1. Be asked to explain actions to the 4-H Educator. 2. Be dismissed from an event at own expense. 3. Further disciplinary action determined in cooperation with the local Extension Educator, the District 4-H
Coordinator, the State 4-H Program Administrator, and as warranted, the Dean of Extension and IANR Administration. Disciplinary action may include:
o becoming ineligible to participate in specific 4-H activities, o becoming ineligible to participate in the Nebraska 4-H program.
4. Reimburse the proper entity for any property damage or for liability resulting from inappropriate actions. In the case of vandalism, guilty party may be required to reimburse 4-H and/or the facility.
Multiple violations of the code of conduct may result in: • Suspension for a period of time, • Becoming ineligible for 4-H participation in their county.
Parent/Guardian violations may also result in: • Restriction from contacting 4-H families, volunteers, donors, and/or sponsors pertaining to any 4-H matter.
Participant Date
Parent(s)/Guardian(s) Date
Ponca Day Camp
June 9, 2020
Parent/Guardian Information The University of Nebraska-Lincoln has implemented a Youth Activity Safety Policy to provide a safe environment for youths participating in UNL sponsored activities, clinics or conferences.
Our policy includes safe interaction guidelines as well as background and sex registry checks for Activity Workers. This policy will help to protect participating youths from potential misconduct incidents and help provide a safe, educational and enjoyable activity/program experience.
Activity Workers
1. All Activity Workers must successfully pass a sex offender registry search for Nebraska and the state(s) they reside.
2. All Activity Workers driving activity vehicles must successfully pass a Driving Record Check.
3. In the case of an emergency or accident involving your youth, parents/guardians will be notified, following notification of the appropriate emergency personnel.
4. All UNL activities will comply with UNL’s Youth Activities Safety Guidelines.
5. As parent(s) or legal guardian(s) you give permission to this activity to use photos of your child in promotional media.
Disciplinary Action The activity directors of University-sponsored activities, clinics and conferences reserve the right to immediately dismiss any youth from the activity, clinic or conference who is found to have violated behavioral expectations. Dismissed youth will be sent home at their expense and will be responsible for all other expenses associated with their dismissal. Parent(s)/guardian(s) will be immediately notified of the youth’s dismissal. Parent or Guardian’s Printed Name Signature Phone Number Date
