Our webpages must be accessible so we have our documents in printable/downloadable PDF version first, then we have the document in a webpage version. You may need to scroll through the page to find the document you are looking for.

Documents on this page:Image of 4-H Horse with a Horse head

  1. Horse Project Requirments
  2. Horse Helmet Release Form
  3. Majestic Valley Arena Location
  4. Montana Bit Rules
  5. Horse Camp Member Registration (when available)
  6. Horse Camp Chaperone Registration (when available)

Members of 4-H may participate in many levels of the horse project. When 4-H members first enroll they must start at level 1 and must be assessed by a certified horse leader and bring a copy of the level assessment to the Extension office to move up in levels. Members must be at least 4-H age 8 to participate in the horse project. Other requirements are explained in the link below. Also check calendar above for dates.

4-H Horse Clinics

4-H Packing Clinics:

Other Horse Clinics:

Jan 4, 2020-Intro, Smith Valley Fire Hall 1-3pm

 

Jan/Feb 2020-Clinic 1, Pattern Work include Horseless Horse

Jan 18, 2020-Clinic I, Country Kitchen 1-4pm  

Feb 2020-Clinic 2, Horse Heath hosted by Golden Spurs

Feb 15, 2020-Clinic II, Country Kitchen 10-4pm

 

Feb/Mar 2020-Clinic 3, Colic hosted by LaSalle Vet & A Bit of Difference

Mar 14, 2020-Clinic III, Bad Rock Arena 10-4:30  

Mar/Apr 2020-Clinic 4, English Riding hosted by Sally

Apr 18, 2020-Clinic IV, Bad Rock Arena 10-4pm

 May 1-3, 2020 Horse Camp at Fairgrounds

May 30, 2020-Camp out, Swisher Lake Trail Head

 

May 2020-Clinic 5, Horsemanship hosted by A Bit of Difference

 

 

TBA-Clinic 7, Mini Horse hosted by Suttons

Horse Project Events

Printable version of Horse Project Requirements (PDF)

Horse Project

 To participate in the 4-H Horse project, members must comply with the following:

 

  • Have an updated Horse Card on file: by June 1. If you’ve changed horses or projects, please update your horse card. Last day to make changes to your horse project is June 1.

 

  • Have a signed Horse Project Release Form and a Horse Helmet Policy & Acknowledgement Form on file. Watch Every Time, Every Ride Video once as a Junior member and once as a Senior member.

 

  • Assessments: Each horsemanship manual has level assessments included in them. Review these with your certified horse leader (all horse members must have a certified horse leader that they’re working with) and turn-in assessments when you’re ready to move to the next level. Members will compete in the level they are working in; ex: if assessed out of level 2, the member will compete in level 3.   Assessments due by June 1st.

 

  • Clinics: Members must attend at least one 4-H horse clinic a year. Approximately 5-6 clinics will be offered every year. Dates & subjects of clinics will be announced throughout the year. Last opportunity to obtain a clinic will be June 1.

4-H Horse Helmet Policy & Signed FormHorse Helmet Release Form

Printable version of Horse Helmet Release Form (PDF)

Acknowledgement of Education

is Required YEARLY

4-H YEAR from: to:

County:

Participant Name: Birth Date: MM/DD/YYYY

Montana State University Extension: 4-H Horse Helmet Policy

A certified equestrian helmet with safety harness fastened in place is required in over fence classes and gymkhana events, activities, and practice sessions. Gymkhana refers to horseback speed events (timed or un-timed) that do not use livestock. Events that usually fall in this category include, but are not limited to: barrel racing, pole bending, keyhole races, stake races, rescue races, pony express race, etc. Events that are not intended to be included in this policy are events such as calf roping, team roping, goat tying, and team penning that may be timed but use

livestock.

Participants in the 4-H Horse Project are required to attend a helmet education workshop and/or view the video

"Every Ride Every Time" once as a junior 4-H member (9-13) and once as a senior 4-H member (14 and up).

It is the responsibility of the parent or guardian of the 4-H member to see that the headgear worn complies with such standards and is in good condition. The Montana 4-H Center for Youth Development encourages the use of ASTM certified/SEI approved safety helmets in all equine events. Protective headgear may be used in all classes and shall not be discriminated against.

Helmet use is encouraged in all 4-H horse activities any time a 4-H member is around a horse. Counties may establish more stringent policies regarding helmet use.

I have read, understand, and agreed to adhere to the above Montana 4-H Horse Helmet Policy in order to participate in the Montana 4-H Horse Project.

Participant Signature: Date:

signatures are required yearly

Montana State University Extension:

4-H Acknowledgement of Receiving Horse Helmet Education

I have attended a 4-H horse helmet safety workshop and/or viewed the video “Every Time, Every Ride”. I

acknowledge that helmet education is required twice during my 4-H membership - first in my junior years, 4-H age

9-13, and again in my senior years, 4-H age 14 and up, unless I joined 4-H as a senior member whereas I need only

receive training once.

Participant Signature:

Date of Education:

Printed Name of Parent or Legal Guardian:

Signature:

 

Horse Project 

Flathead County 4-H Horse Camp  takes place in May (check calendar above) at the Flathead County Fairgrounds! Registration and details below. Silent Auction items are greatly appreciated.

 Majestic Valley Arena Location

Printable version of Majestic Valley Arena Map Location (PDF)

Image of Majestic Valley Arena Location

Montana Bit Rules

Printable version of MT Bit Rules (PDF)

Montana State Horse ProjectBit Rule Examples

The following pages are guidelines of the rules stated in the Montana State Horse Show rule book.   The pictures show examples of bits that are acceptable

(    ), are not allowed (   ),   or may or may not be acceptable     (   ) depending on a measurement that cannot be judged by the picture.   Understand that this supplement gives only some examples of legal and unacceptable bits. In no way does it try to include every bit that is allowed or not allowed. If there are any discrepancies between this and the printed rulebook text, the printed rulebook will have precedence.

  1. BITS - WESTERN AND SPEED EVENTS
    1. References to hackamore mean the use of a non-mechanical, flexible, braided rawhide or leather, or rope bosal, the core of which may be either rawhide or flexible cable. Absolutely no rigid material will be permitted under the jaws, regardless of how padded or covered.
  1. Reference to snaffle bits in western performance classes mean the conventional O-ring, egg-butt or D-ring with ring no larger than 4". The mouthpiece should be round, oval, or egg-shaped, smooth and unwrapped metal. It may be inlaid, but must be smooth. The bars must be a minimum of 5/16“ in diameter, measured one inch in from the cheek with a gradual decrease to center of the snaffle.   The mouthpiece may be two or three pieces. A three-piece, loose connecting ring of 3/4" or less in diameter, or a connecting flat bar of 3/8" to 3/4" (measured top to bottom, with a maximum length of 2"), which lies flat in the horse's mouth is acceptable.
  2. References to a bit in western performance classes mean the use of a curb bit that has a solid or broken mouthpiece, has shanks and acts with leverage. All curb bits must be free of mechanical device and should be considered a standard western bit. A description of a legal, standard western bit includes:
  1. 8 1/2" maximum length shank to be measured as indicated in the diagram illustrating legal bit.   Shanks may be fixed or loose.
  2. Curb bit mouthpieces must be round, smooth, and unwrapped metal of 5/16" to 3/4" in diameter, measured one inch from the cheek. They may be inlaid, but must be smooth. Nothing may protrude below the mouthpiece (bar),   such as extensions or prongs on solid mouthpieces. The mouthpiece may be two or three pieces. A three-piece, loose connecting ring of 3/4" or less in diameter, or a connecting flat bar of 3/8 to 3/4" (measured top to bottom with a maximum length of 2"), which lies flat in the horse's mouth is acceptable.

3.The port on a bit must not be higher than 2 1/2" maximum, with rollers and covers acceptable. Broken mouthpieces, halfbreeds and spades are standard.

  1. Slip or gag bits, and donut and flat polo mouthpieces are not acceptable.
  1. Except for hackamore/snaffle bit classes, speed event classes, or junior horses shown with hackamore/snaffle bit, only one hand may be used on the reins, and hand must not be changed. The hand is to be around the reins; index finger only between split reins is permitted.
  2. References to a romal means an extension of braided material attached to closed reins. This extension may be carried in the free hand with a 16 inch spacing between the reining hand and the free hand holding the romal. The rider’s hand shall be around the reins with the fingers closed, thumb on top, and no fingers between the reins.
  3. The romal shall not be used forward of the cinch or to signal or cue the horse in any way. Any infraction of this rule shall be penalized severely by the judge.
  4. Junior horses (4 years old and under) competing in junior western pleasure, western horsemanship, reining, western riding, and trail that are shown with a hackamore or snaffle bit will be ridden with two hands on the reins.
  5. Horses four-years old and younger may be shown in a snaffle bit, hackamore, curb bit, half-breed, or spade bit. Horses five-years old and older may only be shown in a curb bit, half-breed, or spade bit. In the speed events only, horses of any age may be shown with a snaffle bit.
  6. Chain curb straps are permissible, but must meet the approval of the judge, be at least ½” inch in width, and lie flat against the jaw of the horse. Absolutely no rigid material will be permitted under the jaws, regardless of how padded or covered.

English Division

  1. BITS - HUNTER CLASSES

Bits used in hunter classes must be at least 3/8" or larger in diameter.   The mouthpiece may consist of one, two, or three pieces and must be smooth. Waterford bits are permitted. Smooth full cheek snaffles are permitted. Any port may not be taller than 1 ½ ". Slow or fast twist, corkscrew, twisted wire, double twisted wire, and triangle (knife edge) bits are not allowed. If a bit is used that requires two reins, it may be used with a converter. True gag action and elevator bits are not allowed.  

  1. BITS - BRIDOONS (Saddle Seat and Hunter)

Design of the bridoon mouthpiece must conform with that of acceptable snaffles described in #32B and #33. However, smaller dimensions of the mouthpiece are permissible.

Speed Events Division

TACK: Western-type saddles will be used. A mechanical hackamore or other type bridles may not be used. Use of two hands on the reins is allowed in speed events. Judge or appointed equipment official may prohibit the use of bits or equipment deemed too severe. Use of martingales, tie-downs and nosebands is permitted in these classes. Draw reins are not allowed in speed events. Horses of any age may be ridden in a snaffle.

BITS: Will follow the same rules as the Western Division.

Saddle Seat Division

TACK: Flat English type saddles are required for trotting horses; hunter, forward seat, and dressage type saddles are prohibited. Dressage or breed specific saddles are required for non-trotting horses. Horses must be shown in full bridles (curb and snaffle) or pelham with two reins, standard walking horse bit, or bit appropriate for breed. No figure 8, flash, or drop nose bands are allowed in Saddle Seat classes. Snaffle bridles will only be allowed in Saddle Seat Pleasure, Showmanship, and Conformation classes. Bits with shanks over 8" in length not permitted. Draw reins, martingales, hackamore, and similar equipment are all prohibited. (Pasos may show in hackamores as approved by PFHA for Pleasure classes.) Set tails, boots and/or artificial appliances including chains and rollers (pertaining to legs) are prohibited.

 

 

 

If you want copies of the 4-H Horsemanship Level 4-7 and or the WA Horse Judging Competiion Manual contact the Extension office.

Horse Camp Member Registration

Printable version of Horse Camp Member Registration (PDF)

Flathead County 4-H Horse Camp

May 1-3, 2020

Flathead County Fairgrounds

 

Dear 4-H Parents & Members:

 

This is our Annual Flathead County 4-H Horse Camp. Enclosed is the registration packet. This event is for prior 4-H members and other youth who would like to attend. Please read through the packet carefully and feel free to contact the Extension Office if you have any questions at 758-5553 or Cheryl Favre 270-0669.

 

Registrations are due to the Extension Office no later than Monday, April 24, 2020. Early bird registration runs now through April 10, 2020 and will be $65.00 per 4-H member and $90 per non-member. A registration fee of $75.00 will be charged after April 10th; $100 for non-members. If there are multiple participants attending camp from the same household, a “household discount” of $15 per member will be allowed. 

 

A t-shirt and all meals are included with registration. There are no price breaks for partial attendance and $15.00 of your registration fee is non-refundable. A silent auction and other camp merchandise including baseball hats and pull-over jackets will be available during camp. Please bring funds if you choose to purchase items at camp.

 

A limited number of partial scholarships in the amount of $50 for camp registration fees may be available upon written scholarship requests. Requests may be turned in to the Extension Office or email to Cheryl Favre, cfavre@cmgengineering.com. You will be notified of acceptance or denial within a few days of submitting your request.

 

Stall fees of $8.00 per stall will be charged; however, $5.00 will be refunded at the end of camp if the stall is clean.

 

                 * Fee includes one bag shavings. Additional bags available for $5.00 each or can  be donated back to Horse Camp.

                 * No Stallions are allowed at camp.

                 * Advanced horsemanship members may consider bringing a young horse to camp for  experience. 

                                  - It is recommended that they bring a riding horse as well.

                 * Members are responsible for caring for their own animal.  Chaperones may assist.

                 * Members must strip their stall before they leave.

                 * Fresh water must be in front of your horse when they are in a stall.

                 * Members must be in control of your horse at all times. Do not bring a horse to camp that you cannot control.  

                 * Parents and relatives are there to observe and chaperone, provide assistance as needed.

                 * Non-participating siblings will be under the supervision of an adult.

                 * Visitors are welcome to attend. Meals must be pre-ordered and cost $5 per meal. 

                 * Members should bring the horse that they have identified as their project animal.

 

Campers are required to have a chaperone present during clinic hours. These hours are Friday, May 1, 2020 from 4:00pm-9:30pm, Saturday, May 2, 2020 from 8:30am-9:00pm and on Sunday, May 3, 2020 from 8:30am-4:00pm. Chaperones are charged a fee of $40.00 for a t-shirt and meals, which includes Friday’s dinner, three meals on Saturday, and two meals and a snack on Sunday. A schedule of events is attached to this packet. Members who are unable to tack-up their own horse will require a chaperones help. A chaperone may be responsible for up to no more than 5 campers.

Member Registration

Mailing Address:

MSU Extension, Flathead County

1108 South Main Street Ste. 4

Kalispell, MT 59901

Phone: 406-758-5553

Fax: 406-758-5881

Email: extension@flathead.mt.gov

Montana State University Extension is committed to ensuring the civil rights of its clients and employees. Every client and every employee must be treated fairly and equitably, with dignity and respect. This policy applies to all clients and employees – regardless of race, color, national origin, gender, religion, age, disability, political beliefs, veterans status, sexual orientation, citizenship, and marital or family status.

 

Montana State University Extension encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of special accommodations or have questions about the physical access provided, please contact Flathead County Extension Office at 758-5553 in advance of your participation or visit.

4-H camp participants are asked to stay with other members in the designated sleeping area unless camp staff is otherwise notified.

We will have a “Free Item Table” for participants to donate/share with others (New or Used). We will also be holding a silent auction during camp filled with fun merchandise that campers or parents/chaperones may be interested in purchasing. For this, please bring only New items. See the schedule of events for details. All proceeds will be used for the 4-H Horse Program.

Things you need to bring with you:

 

             Water Bottle (s)                                                                             Sleeping Bag & Pillow

             Cot or Air Mattress (strongly recommended)                                       Toiletries

             Medications (must be turned into the camp nurse)                A Towel

             Riding clothes and boots (no tennis shoes for riding)                          A Notebook/writing utensils

             Riding Helmet (unless a waiver has been signed)                    4-H Horsemanship Workbooks           

             *Money to purchase silent auction items or other camp merchandise                                                            

Please use discretion when bringing valuables to horse camp.  Please clearly label all valuables. The Flathead 4-H Foundation is not responsible for lost or stolen items.

 

Things your horse needs:

 

             Feed (hay or grain)                                              Water Buckets

             Grooming Tools                                                   Saddle & Tack (show items are not necessary)                                       Stall Cleaning Items (wheel barrow and forks are optional but strongly encouraged.)

             Additional shavings if desired.

                                                   

Please clearly label all belongings.

 

 

Immunizations are recommended but are at the discretion of the horse owner.

Flathead County

4-H Horse Camp

May 1-3, 2020

Flathead County Fairgrounds

For Office Use Only:

Date: _____________________ Amount: __________________

Check      Check No.         Cash       

 Participant's Name:                                Age:                       DOB:

Address:                                                      City:                             Zip:

Phone:                               M            F                      4-H Club:

Cell:                                                       Email:

Horsemanship Projects & Levels Currently Enrolled in:

Parents Name:                                                Interested in being Overnight Chaperone?   Y     N

Each child is required to have an adult chaperone during clinic hours (Friday 4:00pm-9:30pm, Saturday 8:30am-9:00pm, & Sunday 8:30am-4:00pm). An adult may chaperone up to 5 members. Chaperones are required to pay $40.00 for meal expense and are welcome to attend all meals provided. Chaperone fees also include a free camp t-shirt. Chaperones must fill out a separate registration form. Guests, siblings and non-chaperone parents who will be joining us for meals must pay $5 per meal in advance.

Name of Chaperone:                                                                                       Phone:

                                                                                                                                               If not the save as listed about

Fees:      Partial scholarships in the amount of $50 for registration fees may be available upon written request.

     Member Early Bird Registration Fee by April 10th - $65 or $90 non-members

     Member Registration Fee by April 20th - $75.00 or $100 non-members

     Multi-Household member discount - Yes or No  Amount

     Stall Fee - $8.00 (includes 1 bag shavings) Extra bags $5.00

     Extra Stall - $8.00/stall    # of Stalls         X$8.00=

     $5.00 of stall fees are refundable at the end of camp if clean or may be donated back to Horse Camp

     To help chaperones assist my child and others I would like to stall near the following campers:

     1.                                                                                          2.

     3.                                                                                          4.

                                  Guest Meals ($5 per meal per guest)

     Friday Dinner:                        (# of Guests)

     Saturday:     Breakfast          Lunch          Dinner

     Sunday:        Breakfast          Lunch          Dinner

     Clothing available in youth and adult sizes:  XS, S, M, L, XL, & XXL

     T-Shirt - (1st is Free, additional $15 each) Size:      Quantity:          Youth:          Adult:

     (additional camp merchandise including baseball caps and pullover jackets will be availbale at camp)

     Pleae make checks payalbe to the Flathead 4-H Horse Committee. Total:

CODE OF CONDUCT FOR 4-H MEMBERS

Name County

The 4-H Center & Montana State University Extension wants your participation in 4-H events and activities to be filled with exciting experiences, new friendships and fun. To ensure a positive experience for all participants, it is expected that each participant be considerate of others, participate fully in the programming and observe the following expectations (if a situation or question arises which is not clearly covered by this list, ask a chaperone or staff person before acting).

 

  • I will conduct myself at all times in order to be a credit to the club, school and community. • I will dress neatly and appropriately for the occasion. • I will show respect for the rights of others to be courteous at all times. • I will be honest and not take unfair advantage of others. • I will respect the property of others. • I will refrain from loud boisterous talk, swearing and horseplay. • I not use my personal vehicle when it is not allowed by an event or trip. • I will demonstrate sportsmanship in the contests and meeting, modesty in winning and generosity in defeat. • I will attend sessions promptly and respect the opinion of others in discussion. • I will not purchase or have in my possession any kind of alcoholic beverage, drugs or tobacco. • I will care for the motel/hotel property and respect the rights of other guests of the motel/ hotel/ dorm and observe all rules instituted by the property. • I will be in my room and stay there after curfew time and I will be dressed and out of my room each day by the set time given by the chaperon(s). • I will be prepared to report to my club and other clubs knowledge gained by attending these activities. • I will respect supervision at all times, being responsible to all adults connected with the trip or event.

I have read the above Code of Conduct and understand that my infraction of any of the above rules will be cause for my participation in the trip or event to be terminated and for me to be sent home at my own expense.

 

Signature of 4-H Member ___________________________________ Date_________________

 

Parent/Guardian Signature __________________________________ Date_________________

 

County Agent Signature ____________________________________ Date_________________

Medical Release Form for 4-H Youth & Adults

PARTICIPANT INFORMATION:

Name: ____________________________________________County: _______________________________________

Address: ________________________________________________________________________________________

Name of Parent or Legal Guardian: (YOUTH ONLY): ______________________________________________________

Primary Physician: _____________________________________________ Phone: ____________________________

Dentist: ______________________________________________________ Phone: ____________________________

IN CASE OF EMERGENCY:

Primary Contact: _______________________________________ Phone: ___________________________________

Relationship: _________________________City: ___________________________________ State: ______________

Alternate Contact: _______________________________________ Phone: __________________________________

Relationship: _________________________City: ___________________________________ State: ______________

INSURANCE INFORMATION

Name of Insurance Carrier: ________________________________________________________________________

Policy Holder Name: ____________________________________ Policy #: __________________________________

Date of Last:

Tetanus Shot: _________ Polio Shot: _________ Mumps Shot: _________ Measles Shot: _________Rubella Shot: __________

Medical Information: (check all that apply and explain if necessary)

□ Stomach or Intestinal problems

□ Diabetes or hypoglycemia (low blood sugar)

□ Nervous disorder (convulsions, epilepsy, dizziness, ect)

□ Respiratory problems

□ Heart Disease

□ Any allergies to medication

□ Any allergies to food or plants

□ Special diet or food restrictions

□ Are you currently under a doctor's care?

□ Are you currently taking medications?

□ Are there any physical restrictions or medical problems

that may require special considerations?

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

AUTHORIZATION FOR TREATMENT (YOUTH ONLY)

I, _______________________________________ do herby give permission to ______________________________________

to seek and obtain any medical care necessary for my child _____________________________________________________ .

Parent/Guardian Signature _________________________________________________ Date __________________________

ALL PARTICIPANTS

To the Best of my knowledge, accurate information has been provided in all areas of this form.

Participant Signature (youth/ adult) ___________________________________________ Date _________________

IF YOUTH: Parent/Guardian Signature __________________________________________ Date _________________

The Montana State University Extension Service is an ADA/EO/AA/Veteran's Preference Employer and Provider of Educational Outreach.

PARENT/GUARDIAN Name CHAPERONE Name

YOUTH Participant Name

MEDIA RELEASE FORM

Montana State University Extension

Name of participant: ______________________________________

County: ________________________________________ 4‐H Year: ____________ ‐ _____________

MSU Extension  4-H would like to use photos or video of your child during 4‐H events or activities to use in

press releases and other publicity. The photo or film may be used for the following purposes:

  • Website
  • Press Release
  • News Story
  • Marketing Materials
  • Other

CONDITIONS OF USE:

  1. We will not use personal details or full names (first name and last name) of any child in a photograph on

our web site.

  1. We will not include personal e‐mail or postal addresses or telephone numbers on our web site or in other

printed publications.

  1. We may use the name of the child in accompanying text or a photo caption.

I DO authorize the use of photos or video of my child at 4-H events or activities.

I DO NOT authorize the use of photos or video of my child at 4-H events or activities.

I have read, consent, and agree, individually and, as a parent or guardian of the minor named

above, to the foregoing terms and provisions. I warrant that I am of full legal age and have every

right to contract for the minor in the above regard.

Parent or Guardian Signature ____________________________________________Date _________________

The U.S. Department of Agriculture (USDA), Montana State University and the Montana State University Extension prohibit discrimination in all of their programs and activities on the basis of race, color,

national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital and family status. Issued in furtherance of cooperative extension work in agriculture and home economics,

acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture, Jill Martz, Director of Extension, Montana State University, Bozeman, MT 59717.

 

 4-H Horse Helmet Policy & Signed Form

 

 Acknowledgement of Education

 

 4-H YEAR from:

to:

County:

Participant Name:

Birth Date: MM/DD/YYYY

Montana State University Extension: 4-H Horse Helmet Policy

A certified equestrian helmet with safety harness fastened in place is required in over fence classes and gymkhana events, activities, and practice sessions. Gymkhana refers to horseback speed events (timed or un-timed) that do not use livestock. Events that usually fall in this category include, but are not limited to: barrel racing, pole bending, keyhole races, stake races, rescue races, pony express race, etc. Events that are not intended to be included in this policy are events such as calf roping, team roping, goat tying, and team penning that may be timed but use

livestock.

Participants in the 4-H Horse Project are required to attend a helmet education workshop and/or view the video

"Every Ride Every Time" once as a junior 4-H member (9-13) and once as a senior 4-H member (14 and up).

It is the responsibility of the parent or guardian of the 4-H member to see that the headgear worn complies with such standards and is in good condition. The Montana 4-H Center for Youth Development encourages the use of ASTM certified/SEI approved safety helmets in all equine events. Protective headgear may be used in all classes and shall not be discriminated against.

Helmet use is encouraged in all 4-H horse activities any time a 4-H member is around a horse. Counties may establish more stringent policies regarding helmet use.

I have read, understand, and agreed to adhere to the above Montana 4-H Horse Helmet Policy in order to participate in the Montana 4-H Horse Project.

 

 Participant Signature:

Date:

signatures are required yearly

 

 Montana State University Extension:

4-H Acknowledgement of Receiving Horse Helmet Education

I have attended a 4-H horse helmet safety workshop and/or viewed the video “Every Time, Every Ride”. I

acknowledge that helmet education is required twice during my 4-H membership - first in my junior years, 4-H age 9-13, and again in my senior years, 4-H age 14 and up, unless I joined 4-H as a senior member whereas I need only receive training once.

 

 Participant Signature:

Date of Education:

Printed Name of Parent or Legal Guardian:

Signature:

Date:

signatures are required yearly

 

Horse Camp Champerone Registration

Printable version of Horse Camp Chaperone Registration (PDF)

Flathead County 4-H Horse Camp

May 1-3, 2020

Flathead County Fairgrounds

 

Dear 4-H Parents & Members:

 

This is our Annual Flathead County 4-H Horse Camp. Enclosed is the registration packet. This event is for prior 4-H members and other youth who would like to attend. Please read through the packet carefully and feel free to contact the Extension Office if you have any questions at 758-5553 or Cheryl Favre 270-0669.

 

Registrations are due to the Extension Office no later than Monday, April 24, 2020. Early bird registration runs now through April 10, 2020 and will be $65.00 per 4-H member and $90 per non-member. A registration fee of $75.00 will be charged after April 10th; $100 for non-members. If there are multiple participants attending camp from the same household, a “household discount” of $15 per member will be allowed. 

 

A t-shirt and all meals are included with registration. There are no price breaks for partial attendance and $15.00 of your registration fee is non-refundable. A silent auction and other camp merchandise including baseball hats and pull-over jackets will be available during camp. Please bring funds if you choose to purchase items at camp.

 

A limited number of partial scholarships in the amount of $50 for camp registration fees may be available upon written scholarship requests. Requests may be turned in to the Extension Office or email to Cheryl Favre, cfavre@cmgengineering.com. You will be notified of acceptance or denial within a few days of submitting your request.

 

Stall fees of $8.00 per stall will be charged; however, $5.00 will be refunded at the end of camp if the stall is clean.

 

                 * Fee includes one bag shavings. Additional bags available for $5.00 each or can  be donated back to Horse Camp.

                 * No Stallions are allowed at camp.

                 * Advanced horsemanship members may consider bringing a young horse to camp for  experience. 

                                  - It is recommended that they bring a riding horse as well.

                 * Members are responsible for caring for their own animal.  Chaperones may assist.

                 * Members must strip their stall before they leave.

                 * Fresh water must be in front of your horse when they are in a stall.

                 * Members must be in control of your horse at all times. Do not bring a horse to camp that you cannot control.  

                 * Parents and relatives are there to observe and chaperone, provide assistance as needed.

                 * Non-participating siblings will be under the supervision of an adult.

                 * Visitors are welcome to attend. Meals must be pre-ordered and cost $5 per meal. 

                 * Members should bring the horse that they have identified as their project animal.

 

Campers are required to have a chaperone present during clinic hours. These hours are Friday, May 1, 2020 from 4:00pm-9:30pm, Saturday, May 2, 2020 from 8:30am-9:00pm and on Sunday, May 3, 2020 from 8:30am-4:00pm. Chaperones are charged a fee of $40.00 for a t-shirt and meals, which includes Friday’s dinner, three meals on Saturday, and two meals and a snack on Sunday. A schedule of events is attached to this packet. Members who are unable to tack-up their own horse will require a chaperones help. A chaperone may be responsible for up to no more than 5 campers.

Chaperone Registration

Mailing Address:

MSU Extension, Flathead County

1108 South Main Street Ste. 4

Kalispell, MT 59901

Phone: 406-758-5553

Fax: 406-758-5881

Email: extension@flathead.mt.gov

Montana State University Extension is committed to ensuring the civil rights of its clients and employees. Every client and every employee must be treated fairly and equitably, with dignity and respect. This policy applies to all clients and employees – regardless of race, color, national origin, gender, religion, age, disability, political beliefs, veterans status, sexual orientation, citizenship, and marital or family status.

 

Montana State University Extension encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of special accommodations or have questions about the physical access provided, please contact Flathead County Extension Office at 758-5553 in advance of your participation or visit.

4-H camp participants are asked to stay with other members in the designated sleeping area unless camp staff is otherwise notified.

We will have a “Free Item Table” for participants to donate/share with others (New or Used). We will also be holding a silent auction during camp filled with fun merchandise that campers or parents/chaperones may be interested in purchasing. For this, please bring only New items. See the schedule of events for details. All proceeds will be used for the 4-H Horse Program.

Things you need to bring with you:

 

             Water Bottle (s)                                                                             Sleeping Bag & Pillow

             Cot or Air Mattress (strongly recommended)                                       Toiletries

             Medications (must be turned into the camp nurse)                A Towel

             Riding clothes and boots (no tennis shoes for riding)                          A Notebook/writing utensils

             Riding Helmet (unless a waiver has been signed)                    4-H Horsemanship Workbooks           

             *Money to purchase silent auction items or other camp merchandise                                                            

Please use discretion when bringing valuables to horse camp.  Please clearly label all valuables. The Flathead 4-H Foundation is not responsible for lost or stolen items.

 

Things your horse needs:

 

             Feed (hay or grain)                                              Water Buckets

             Grooming Tools                                                   Saddle & Tack (show items are not necessary)                                       Stall Cleaning Items (wheel barrow and forks are optional but strongly encouraged.)

             Additional shavings if desired.

                                                   

Please clearly label all belongings.

 

 

Immunizations are recommended but are at the discretion of the horse owner.

Flathead County

4-H Horse Camp

May 1-3, 2020

Flathead County Fairgrounds

For Office Use Only:

Date: _____________________ Amount: __________________

Check      Check No.         Cash       

Chaperone’s Name: ___________________________________  Are you over 21 years of age?  Y    N

 

Address: ___________________________________________________________________________

 

Phone: ____________________   M _____  F______     4-H Club: _____________________________

 

Email: ________________________________________  Cell: _______________________________

 

 

Are you interested in being an overnight chaperone:   Y          N

                                                                                              Circle One

 

Each child is required to have an adult chaperone during clinic hours, (Friday 4:00pm -9:30pm, Saturday 8:30am-9:00pm, & Sunday 8:30 am-4:00pm).  An adult may chaperone up to 5 members.  Chaperones are required to pay $40.00 for meal expense, and are welcome to attend all meals provided. 

 

Camper #1________________________________  Camper #2________________________________

 

Camper #3________________________________  Camper #4________________________________

 

Camper #5________________________________ 

Fees:

             Chaperone Fee- $40.00                                                                                                       _________

            

             T-Shirt- (1st is Free, additional $15 each)        Size:_______  Quantity: _______        _________

                                                                                          

            

             Clothing available in adult sizes: XS, S, M, L, XL, & XXL        

             (additional camp merchandise including baseball caps and pullover jackets will be available at camp)

             Guest Meals: ($5 per meal per guest)

             Friday Dinner:               ________ (# of Guests)

             Saturday:    Breakfast ________  Lunch________  Dinner________               _________

             Sunday:      Breakfast ________  Snack________  Dinner________                _________

            

Please make checks payable to the Flathead 4-H Horse Committee.           Total:   

Medical Release Form for 4-H Youth & Adults

PARTICIPANT INFORMATION:

Name: ____________________________________________County: _______________________________________

Address: ________________________________________________________________________________________

Name of Parent or Legal Guardian: (YOUTH ONLY): ______________________________________________________

Primary Physician: _____________________________________________ Phone: ____________________________

Dentist: ______________________________________________________ Phone: ____________________________

IN CASE OF EMERGENCY:

Primary Contact: _______________________________________ Phone: ___________________________________

Relationship: _________________________City: ___________________________________ State: ______________

Alternate Contact: _______________________________________ Phone: __________________________________

Relationship: _________________________City: ___________________________________ State: ______________

INSURANCE INFORMATION

Name of Insurance Carrier: ________________________________________________________________________

Policy Holder Name: ____________________________________ Policy #: __________________________________

Date of Last:

Tetanus Shot: _________ Polio Shot: _________ Mumps Shot: _________ Measles Shot: _________Rubella Shot: __________

Medical Information: (check all that apply and explain if necessary)

□ Stomach or Intestinal problems

□ Diabetes or hypoglycemia (low blood sugar)

□ Nervous disorder (convulsions, epilepsy, dizziness, ect)

□ Respiratory problems

□ Heart Disease

□ Any allergies to medication

□ Any allergies to food or plants

□ Special diet or food restrictions

□ Are you currently under a doctor's care?

□ Are you currently taking medications?

□ Are there any physical restrictions or medical problems

that may require special considerations?

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

AUTHORIZATION FOR TREATMENT (YOUTH ONLY)

I, _______________________________________ do herby give permission to ______________________________________

to seek and obtain any medical care necessary for my child _____________________________________________________ .

Parent/Guardian Signature _________________________________________________ Date __________________________

ALL PARTICIPANTS

To the Best of my knowledge, accurate information has been provided in all areas of this form.

Participant Signature (youth/ adult) ___________________________________________ Date _________________

IF YOUTH: Parent/Guardian Signature __________________________________________ Date _________________

The Montana State University Extension Service is an ADA/EO/AA/Veteran's Preference Employer and Provider of Educational Outreach.

PARENT/GUARDIAN Name CHAPERONE Name

YOUTH Participant Name

MEDIA RELEASE FORM

Montana State University Extension

Name of participant: ______________________________________

County: ________________________________________ 4‐H Year: ____________ ‐ _____________

MSU Extension  4-H would like to use photos or video of your child during 4‐H events or activities to use in

press releases and other publicity. The photo or film may be used for the following purposes:

  • Website
  • Press Release
  • News Story
  • Marketing Materials
  • Other

CONDITIONS OF USE:

  1. We will not use personal details or full names (first name and last name) of any child in a photograph on

our web site.

  1. We will not include personal e‐mail or postal addresses or telephone numbers on our web site or in other

printed publications.

  1. We may use the name of the child in accompanying text or a photo caption.

I DO authorize the use of photos or video of my child at 4-H events or activities.

I DO NOT authorize the use of photos or video of my child at 4-H events or activities.

I have read, consent, and agree, individually and, as a parent or guardian of the minor named

above, to the foregoing terms and provisions. I warrant that I am of full legal age and have every

right to contract for the minor in the above regard.

Parent or Guardian Signature ____________________________________________Date _________________

The U.S. Department of Agriculture (USDA), Montana State University and the Montana State University Extension prohibit discrimination in all of their programs and activities on the basis of race, color,

national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital and family status. Issued in furtherance of cooperative extension work in agriculture and home economics,

acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture, Jill Martz, Director of Extension, Montana State University, Bozeman, MT 59717.