DAY

CAMPS

2016

K-3Art-a-Palooza

___ June 2- Strawberry Point Civic Center___ June 6- Guttenberg Creativity Center___ June 9- McGregor Landing Event Center

Camp Lend-a-Hand___ June 13- Eagle Ridge Assisted Living, Guttenberg___ June 16- Edgewood Convalescent Home ___ June 17- Monona Garden View

Do You Want to Build a Snowman?___ June 22- Edgewood City Park___ June 23- Elkader City Park ___ July 11- Guttenberg City Park

Robots in Space___ June 27- Guttenberg Creativity Center___ June 29- Monona Library___ June 30- Strawberry Point Civic Center

4-6Lights, Camera, Action

___ June 6- Guttenberg Community Center___ June 8- Strawberry Civic Center___ June 9- Monona High School Auditorium

Art-a-Palooza___ June 13-Guttenberg Creativity Center___ June 15- McGregor Landing Event Center___ June 16- Edgewood Community Room

Robots in Space___ June 22- Edgewood Community Room___ June 23- Elkader Freedom Bank___ July 11- Guttenberg Creativity Center

Games Galore___ June 27- Guttenberg City Park___ June 29- Monona City Park___ June 30- Strawberry Point Civic Center

K-6

Edible Earth___ June 28- Elkader Central School Garden

Little Camp on the Prairie___ July 7- Osborne Heritage Village and Nature Center

Insect Zoo___ July 29- Elkader City Park Shelter

Fair Funtivities- FREEFREE August 3- National, Clayton County Fairgrounds

General Information

4-H Camps are open to ALL YOUTH. Camps run from 9 AM with registration starting at 8:30 AM. A parent showcase is preformed at 2:30 PM and youth are free to leave at 3:00 PM. A sack lunch and a water bottle is required for each camp. Two snacks will be provided. Space is limited to 15 youth per camp and is on a first come first serve basis. Registration is not complete unless entry fee is paid and medical form is turned in with registration. Schorlarships are avaialble for those with financial need. Registration deadline for all camps is June 1, 2016. Camps are divided by Ages and Stages of Development. Youth must be going into the age groups of the camp they sign up for. Youth wanting to participate in a different age camp will be put on a waiting list and notified the week before camp if they are able to attend. Youth may register for multiple camps during the summer. The first camp is $15 and all additional camps are $10. Adult volunteers are always welcome. If you are interested in assisting with a camp please contact the ISU Extension and Outreach-Clayton County at 563-245-1451 so we may run a back-ground check and place you with the camp of your choice. Thank you to all of our partners and sponsors who have

contributed to the summer day camps this year!

Video and board games come to life with this interactive camp designed to get kids thinking and moving. Life-size Hungry Hungry Hippo, Minecraft GPS locating are sure to delight every 4-6 grader.

EDIBLE EARTH

Join FoodCorps member, Cassie Panther as she takes you on a journey of exploring and tasting the world around you. Held at the Central School Gardens. K-6.

FAIR FUNTIVITIESFREE CAMP! Animals, activities and fun! This K-6 camp is packed full of exciting activities to do in the 4-H Activity Tent, includes a tour of the fair animals and lets kids explore what the Clatyon County Fair has to offer. Gate fees do apply.

GAMES GALORE

INSECT ZOOJoin the Iowa State Insect Zoo in a fun day filled with hissing cockraches, maggots, walking sticks and so much more. K-6 grades will make bug crafts and go on a bug hug before visitng with an entomologist.

Photography Day CampJuly 15, 2014 • 9 am - 3 pm

Central Community School • Elkader, IA$10 • Grades 7-12

Learn the basics of good photo capturing.Take a photo tour with local photographer, David Beck.

Explore Photoshop editing.

Must bring your own digital camera with storage card and a sack lunch.

Photography Day Camp Registration Form Deadline is one week before camp. To register send the completed forms and a check for $10 to Clayton County Extension & Outreach • 120 South Main Street, PO Box 357, Elkader, Iowa 52043.

Name: ________________________________________________ E-mail: ____________________________

Contact Info/Phone Number: __________________________________ Grade: ________ Gender: M F

Are you currently a 4-H member? Yes No

Parent Signature: __________________________________________________________________________

Questions: Call Shannon Durbin at 563-245-1451 or email sdurbin@iastate.edu.com

Extension programs are available to all without regard to race, color, national origin, religion, sex, age, or disability. The fees for service will be used to off-set direct expenses

and to support the 4-H Youth Development Clayton County Extension Program.

Day Camp CounselorsNeeded

Put in your service hours this summer in the most fun way possible, Day Camp!

Counselors are needed for Day Camps in every part of Clayton County. Join K-3 graders as they learn about goop and animals or help 4-6 graders with ceramics and game design.

To sign up e-mail Shannon Durbin at sdurbin@iastate.edu or call 563-245-1451.

DO YOU WANT TO BUILD A SNOWMAN?

Winter is a good time to stay in and cuddle but attend this camp and you’ll be a Happy Snowman! This camp is as COOL at they come with many fun activities for K-3 graders to beat the summer heat.

CAMP LEND-A-HANDNew! A camp that gives back! K-3 graders will spend the day at a senior center playing, crafting, and gifting their time to others. Multi-generational friendships are at the heart of Camp Lend-a-Hand.

LITTLE CAMP ON THE PRAIRIE

Step in to the shoes of Pa, Ma, and Laura in the Pioneer Village at Osborne Nature Center. Make cane fishing poles, dip candles, churn butter, participate in a class at the school house, play tug of war and more. Costume is not required, but welcomed. K-6 welcome!

ART•A•PALOOZA

Paint, Draw, Sculpt, and Play during Art-a-Palooza.K-3 and 4-6 grades will dabble in all forms of art in a day packed with creativity.

LIGHTS, CAMERA, ACTIONWelcome to the world of theater. Learn what goes on behind the scenes and show your talent on the stage in this 4-6 grade camp.

Introducing the worldof space exploration.Program a Mars Rover,shoot off a water rocket, and bring an

egg safely down to earth. K-3 and 4-6 may differ in curriculum.

ROBOTS IN SPACE

Day Camp Registration Form

Child’s Name____________________________________________

Grade (Completed) __________________ Gender_____________

4-H Club (if any) ____________________________________

Parent’s Name___________________________________________

Address ____________________________Town_______________

State_____________ZIP__________ E-mail ___________________

Main Contact Phone Number _______________________________

K-3Art-a-Palooza

___ June 2- Strawberry ___ June 6- Guttenberg___ June 9- McGregor

Camp Lend-a-Hand___ June 13-Guttenberg___ June 16- Edgewood___ June 17- Monona

Do You Want to Build a Snowman?___ June 22- Edgewood___ June 23- Elkader___ July 11- Guttenberg

Robots in Space___ June 27- Guttenberg___ June 29- Monona___ June 30- Strawberry Point

4-6Lights, Camera, Action

___ June 6- Guttenberg___ June 8- Strawberry___ June 9- McGregor

Art-a-Palooza___ June 13-Guttenberg___ June 15- McGregor___ June 16- Edgewood

Robots in Space___ June 22- Edgewood___ June 23- Elkader___ July 11- Guttenberg

Games Galore___ June 27- Guttenberg___ June 29- Monona___ June 30- Strawberry Point

Mail this application, completed medical form and check made out to

ISU Extension and Outreach to:

ISU Extension & Outreach - ClaytonPO Box 357

Elkader, IA 52043

PAYMENT- $15 first camp per child$10 each additional camp per child

Scholarships are available upon request.

The fee for service is used to off-set direct expenses & to support the Clayton County Extension 4-H & Youth Program.

K-6

Edible Earth___ June 28- Elkader

Little Camp on the Prairie___ July 7- Osborne

Insect Zoo___ July 29- Elkader

Fair Funtivities- FREEFREE August 3- National

Do Not Return This Registration Without The Meidcal Release Form.

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. . . and justice for all The U

.S. Departm

ent of Agriculture (U

SDA

) prohibits discrimination in all its program

s and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and m

arital or family status. (N

ot all prohibited bases apply to all program

s.) Many m

aterials can be made available in alternative form

ats for AD

A clients. To file a com

plaint of discrimination, w

rite USD

A,

Office of C

ivil Rights, R

oom 326-W

, Whitten B

uilding, 14th and Independence Avenue, SW

, Washington, D

C 20250-9410 or call 202-720-

5964. Issued in furtherance of C

ooperative Extension work, A

cts of May 8 and June 30, 1914, in cooperation w

ith the U.S. D

epartment of

Agriculture. C

athann Kress, D

irector, Cooperative Extension Service, Iow

a State University of Science and Technology, A

mes, Iow

a.

TO

BE R

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D SIG

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BY PAR

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It is important to follow

the directions of the adult leader(s) at all times. I understand that as a participant I have the responsibility to

help make the activity a safe experience for everyone through m

y behavior and conduct. I also understand the danger of not following

rules and directions and agree to follow them

.

P

articipant Signature

Date

TO

BE R

EAD AN

D SIG

NED

BY PAR

ENT O

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I understand that m

y child must be healthy and reasonably fit in order to safely participate in 4-H

recreation activities and that I will

inform the program

leader(s) of any medication, ailm

ent, condition, or injury that may affect his/her ability to participate safely.

MED

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The health history for my child is correct and com

plete to my know

ledge. If an injury or other medical condition occurs or arises, I

hereby give permission to the IS

U E

xtension staff or volunteer to provide routine first aid and seek emergency treatm

ent including x-rays or routine tests. I agree to the release of any record necessary for treatm

ent, referral, billing or insurance purposes. I understand that I am

financially responsible for charges and hereby guarantee full payment to the attending physicians or health care unit. In the

event of an emergency w

here I cannot decide for my child, I give perm

ission to the physician/hospital selected by the ISU

Extension

staff or volunteer to secure and administer treatm

ent for my child, including hospitalization. (*If you cannot sign this section of the form

for any reason, contact the C

ounty Extension D

irector regarding a legal waiver in order to attend and participate.)

_________initial __________date

PUB

LICITY/IM

AG

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ISSION

The Iow

a State U

niversity Extension 4-H

Program

normally takes photographs, video, and/or tape recording of our program

s. During

activities, a photograph or video/audio recording may be taken of you or your child. U

nless you request otherwise, your initial below

w

ill be considered permission for Iow

a State U

niversity and the 4-H P

rogram to photograph, film

, audio/video tape, record and/or televise your im

age and/or voice or the image and/or voice of your child for use in any publications or prom

otional materials, in any

medium

now know

n or developed in the future without any restrictions. If you object to IS

U using you or your child’s im

age or voice in this m

anner, please notify the adult leader. _________initial __________date TR

AN

SPOR

TATIO

N

I am giving m

y permission for m

y child to be transported during an authorized activity or event. I give my perm

ission for: (Check all

that apply.)

My child to ride w

ith any adult volunteer driver.

My child to ride w

ith an authorized adult volunteer driver who has com

pleted an MV

R check.

M

y child to ride in another youth’s (18 or younger) vehicle to 4-H activities.

M

y child to drive his/her vehicle to 4-H activities or events.

M

y child to transport other 4-H participants in his/her or m

y vehicle.

I understand that if personally-ow

ned vehicles are used as transportation to and from Iow

a State U

niversity (ISU

) 4-H events or

activities, that the owner of the vehicle is responsible for any liability that m

ight occur during the transportation. ISU

does not provide coverage for any property dam

age, personal injury or liability that may occur w

hile using personal vehicles. Vehicle ow

ners are required to carry autom

obile liability insurance as required by the State of Iow

a. _________initial __________date 4-H

ASSU

MPTIO

N O

F RISK

AN

D R

ELEASE O

F LIAB

ILITY (Please read carefully.) I give perm

ission for to participate in the 4-H

program. I understand that 4-H

project activities/events m

ay involve certain risks of physical activity and possible injury and that Iowa S

tate University and its 4-H

program w

ill provide each participant w

ith reasonable care, but that ISU

cannot guarantee that my child w

ill remain free of injury. In addition, som

e 4-H

projects including but not limited to: shooting sports, horse or livestock projects, w

ater activities, and other sporting activities have a higher degree of risk. I nonetheless w

ish to have my child participate in the 4-H

program and A

SS

UM

E the R

ISK

of participating. I agree to R

ELE

AS

E from

LIAB

ILITY, IND

EM

NIFY and H

OLD

HA

RM

LES

S the S

tate of Iowa, the B

oard of Regents of the S

tate of Iowa,

ISU

and ISU

Extension and their officers, em

ployees and agents (hereinafter the RE

LEA

SE

ES

) from any and all claim

and/or cause of action arising out of and related to any injury, loss, penalties, dam

age, settlement, costs or other expenses or liabilities that occur as a

result of my child’s participation in the 4-H

program. This release, how

ever, is not intended to release the above-mentioned

RE

LEA

SE

ES

from liability arising out of their sole negligence.

Parent or G

uardian Signature

Date

(Must be signed by the parent or guardian if the participant is under 18 years old)