Questions? Comments?

Please Contact:

Brandon Hawkins

Phone: 605-461-1368

E-mail: brandon.hawkins@jacks.sdstate.edu

OR

Anna Hemenway

Phone: 605-461-1368

E-mail: anna.hemenway@jacks.sdstate.edu

Jackrabbit

Dairy Camp

South Dakota State University

Dairy Club Proudly Presents...

JUNE 4TH-6TH

2015

Jackrabbit Dairy

Camp 2015

Brandon Hawkins

13968 County Road 24 New Ulm, MN 56073

Please send your registration to:

TENTATIVE CAMP SCHEDULE

THURSDAY, JUNE 4TH

12:30 PM – 1:30 PM REGISTRATION

1:30 PM – 2:00 PM WELCOME & COUNSELOR INTRODUCTIONS

2:00 PM – 4:30 PM WORKSHOP: DAIRY CATTLE JUDGING CONTEST 4:45 PM - 5:15 PM HEIFER VIEWING

5:15 PM - 6:00 PM SUPPER 6:00 PM – 6:45 PM HEIFER AUCTION 7:00 PM – 8:00 PM WORK WITH HEIFERS

8:30 PM – 9:30 PM EVENING ACTIVITY 10:30 PM LIGHTS OUT

FRIDAY, JUNE 5TH

8:00 AM – 8:45 AM BREAKFAST

9:00 AM – 11:45 AM WORKSHOPS: SHOWMANSHIP

DAIRY FOOD PRODUCTS PROMOTION 12:00 PM – 12:45 PM LUNCH

1:00 PM – 3:00 PM FITTING / FIELD TRIP (GROUP 1) 3:00 PM – 5:00 PM FITTING / FIELD TRIP (GROUP 2) 5:00 PM – 5:45 PM WORK WITH HEIFERS

6:00 PM – 7:00 PM SUPPER 7:30 PM – 10:00 PM EVENING ACTIVITY 10:30 PM LIGHTS OUT

SATURDAY, JUNE 6TH

8:30 AM – 9:20 AM BREAKFAST/DORM CHECKOUT 9:30 AM – 10:00 AM HEIFER PREPARATION 10:00 AM – 11:00 AM SHOWMANSHIP SHOW

11:00 AM – 11:30 AM AWARDS / CLOSING CEREMONY 11:30 AM – 12:30 PM GRILL OUT WITH PARENTS 12:30 AM DAIRY FEST* / PICK-UP

* Dairy Fest is a fun event hosted by the dairy industry

and local community for educating the public about the

industry. Dairy Camp staff will bus the campers to the

Swiftel Center where the Dairy Fest will be held, and

where parents can pick up their child and luggage. At

that time, families are free to either travel home or

stay and check out the Dairy Fest.

The SDSU Dairy Club would like to invite you to join us

for the 12th Annual Jackrabbit Dairy Camp at the South

Dakota State University campus in Brookings.

At camp we’ll be having workshops on showmanship,

fitting, dairy cattle judging, advocating, and more.

Participants will also have the opportunity to work one-

on-one with a heifer throughout the camp. We are excit-

ed to provide the opportunity for youth to enhance their

fitting skills and provide assistance with topline fitting.

Lodging for two evenings in a SDSU residence hall, meals,

entertainment, and materials provided are included in the

$60 registration fee. This $60 fee is per participant.

Registration is limited to 5 youth/counselor and will be

handled on a first come first serve basis. Additional

information can be obtained by going to

http://www.sdstate.edu/ds.

Youth between the ages of 8-18 interested in learning

more about the dairy industry are invited to register.

Registration is open from March 29th to May

15th. If your registration has been received, ex-

pect a confirmation letter about one week after

the May 15th deadline.

Name _______________________________________

Address __________________________________________

City, State, Zip _____________________________________

Telephone ________________________________________

E-mail ____________________________________________

Age _________________

Have you attended previously? Yes No

Years of Experience Showing Dairy: ______

Gender: Male Female

Adult shirt size: S M L XL

Make checks payable to: SDSU Dairy Club

South Dakota State University

Dairy Camp 2015

June 4th-6th, 2015

Registration Checklist

Please Enclose:

Registration Form

Check payable to “SDSU Dairy Club” for $60

Health Form

Liability Form

Dairy Camp Health Form Information (Print clearly, fill out completely. Return with Registration Materials) Contact Information Participant’s Name ______________________________________________________ Last First Middle Initial

Participant’s Address______________________________________________________________ Street or Box City State Zip Code

Participant’s Phone Number ( )____________ Birth Date________ Age______ Gender______ Emergency Contact Name________________ Relationship to Participant: ___Parent ___ Guardian ___ Other: Daytime Phone Number ( )_________________ Evening Phone Number ( )_____________ Cell Phone Number ( ) __________________ Address _______________________________ City State

Alternate Emergency Contact: Name________________ Relationship to Participant: __Parent ___ Guardian ___ Other: Daytime Phone Number ( )_________________ Evening Phone Number ( )_____________ Cell Phone Number ( ) __________________ Address _______________________________ City State

Health Information Participant has the following: Health problems (circle all that apply): Asthma Convulsions Fainting spells Physical Impairment Bronchitis Diabetes Heart Trouble Hay Fever Other (list)___________________________________________________________________ Allergies or reactions to foods (circle all that apply) Dairy Gluten Peanuts Shellfish Other (list)___________________________________________________________________ Allergies to things in nature (circle all that apply) Insect bites or stings Ivy/oak/sumac toxins Other (list)___________________ Date of Participant’s last Tetanus Immunization_____________________________________ Month Date Year

Participant has a condition that requires a medication: ____ Yes _____ No If yes was answered, what is the condition? (list)_____________________________ What is the name of the medication? (list)__________________________________ Will the medication be in the possession or the member?___ Yes ____ No Is the member capable of self-administering the medication? _____ Yes _____ No

Housing: Participants may room with only one other person they know is going if they wish to.

Roommate Request:

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF THE RISK AND

INDEMNITY AGREEMENT AND CONSENT TO MEDICAL TREATMENT By our signatures below, we acknowledge that we are aware of, appreciate the character of, and voluntarily assume the risks involved in participating in The 2015 Jackrabbit Dairy Camp By our signatures below, on behalf of ourselves, our heirs, next of kin, successors in interest, assigns, personal representatives, and agents; we hereby: 1. Waive any claim or cause of action against and release from liability the State of South Dakota, its officers, employees, and agents for any liability for injuries to person or property resulting from participation in the activity listed above; 2. Agree to indemnify and hold harmless the State of South Dakota, its officers, employees, and agents for any claims, causes of action, or liability to any other person arising from participating in the activity listed above; 3. Consent to receive any medical treatment deemed advisable during participation in the activity listed above; and 4. Acknowledge that we are signing below as a minor child and as the parent or legal guardian of the minor child named below. I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF THE RISK AND INDEMNITY AGREEMENT AND CONSENT TO MEDICAL TREATMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. Minor’s Name ________________________________ Date of Birth ________________________

Signature ________________________ Address _________________________ ______ I HAVE READ THIS RELEASE

Parent/Guardian’s Name________________________________ Date of Birth_______________ Signature __________________________ Address ____________________________________ I HAVE READ THIS RELEASE

Date_________________