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4-H EDGE: connecting Kids to Campus
Registration for 4-H Members Ages 11-15


For a printable version of this document, click here

Welcome to 4-H EDGE Weekend!  We have a great assortment of workshops and activities for you and your parents this year! Give yourself an “edge” by using your 4-H experience to prepare for decisions about college and career.

For information about 4-H EDGE contact:
Christy Fitzpatrick at 532-6548 or
cfitz@umext.maine.edu
Kristy Meisner Ouellette at 353-5550 or kmeisner@umext.maine.edu

Or visit the 4-H EDGE website: http://www.umext.maine.edu/4h/events/edge.htm

Participant Information:
_____________________________________________________
Name  _____________________                                                                                                             County

______________________________________________________________________
Address 

______________________________       ________        _____________
 City                                                        State                       Zip 

(______) _____________________________
Home Phone  
(_______) ___________________________
Cell Phone

____________________________________________________________
email address

Youth Participant
___ Male
___ Female

Age _______
Current Grade _____

Name of 4-H Club     ___________________

Emergency and Other Special Information:
_____________________________________________________________________

Emergency Contact Name:______________________________________
Relationship: ______________________________

Emergency Phone - Day ______________________________________ 
Emergency Phone - Evening___________________________________
Parent or Guardian’s Workplace________________________________
Work phone__________________________________________
I am requesting to room with ___________________________
Yes, I am planning to ride the bus…Pick me up at Lewiston/Auburn____  Waterville____  Houlton____ Medway____  (exact pick-up locations will be in your registration mailing)

In complying with the letter and spirit of applicable laws and in pursuing its own goals of diversity, the University of Maine System shall not discriminate on the grounds of race, color, religion, sex, sexual orientation, national origin or citizenship status, age, disability, or veteran status in employment, education, and all other areas of the University. The University provides reasonable accommodations to qualified individuals with disabilities upon request.

Questions and complaints about discrimination in any area of the University should be directed to the Office of  Equal Opportunity, The University of Maine, Room 101, 5754 North Stevens Hall, Orono, ME 04469-5754, telephone (207) 581-1226 (voice and TDD).

Persons with disabilities who need accommodations to participate in our programs, please call Emily Dow at 1-800-287-1469, at least 10 days in advance.

Make Your Workshop Choices:
Session One 9:00 AM
Please indicate 1st, 2nd, and 3rd choices
Session Two 10:30 AM
Please indicate 1st, 2nd, and 3rd choices
Session Three 1:30 PM
Please indicate 1st, 2nd, and 3rd choices
___1A Clean Water, One Rain Garden at a Time ___2A Clean Water, One Rain Garden at a Time ___3A Fun with Radio Broadcasting
___1B Tracking Seals Using GIS ___2B Tracking Seals Using GIS ___3B A Future for Fun and Impact in Marine Botany
___1C Interactive Claymation ___2C Interactive Claymation ___3C Interactive Claymation
___1D The "Power" of Technology (H2 Fuel Cells) ___2D Sensors! Science & Engineering Activities ___3D Sensors! Science & Engineering Activities
___1E Making Science and Math Meaningful Means Making them Messy! ___2E Making Science and Math Meaningful Means Making them Messy! ___3E Making Science and Math Meaningful Means Making them Messy!
___1F Meet Maine Bound/ Rock Climbing ($5 Fee) ___2F Meet Maine Bound/ Rock Climbing ($5 fee) ___3F Meet Maine Bound/ Rock Climbing ($5 fee)
___1G Veterinary Hematology ___2G Operation Robot ___3G Operation Robot
___1H Who am I? ___2H Who am I? ___3H The Secret Lives of Insects
___1J When Engineering is "Civil" ___2J The "Power" of Technology (H2 Fuel Cells) ___3J Standard-Bred Horse Retraining
___1K Green Hands at the Greenhouse ___2K When Engineering is "Civil" ___3K What does it take to be a College Athlete?
___1L Input with a Wiimote ___2L Input with a Wiimote ___3L Input with a Wiimote
___1M Robotics 101 ___2M Robotics 201 ___3M Pate Farm and Home Museum Tour
___1N Innovation Creation ___2N Bringing the Past to the Public ___3N Advanced Engineered Wood Composites Lab Tour (AEWC)
  ___2O Awesome Astronomy ___3P Campus Tour
___ AA Video Journalism Part 1 ___ AA Video Journalism Part 2  
___ BB Fit 'N Well at the University of Maine Part 1 ___ BB Fit 'N Well at the University of Maine Part 2
  ___ CC Get Set for Get Wet Part 1 ___ CC Get Set for Get Wet Part 2

Choice for Friday evening recreation activity, please check your choice!

8:45 pm   ____Swimming or ____Volleyball in the Campus Recreation and Fitness Center.  Don't forget to print and sign the recreation waiver and return it with your registration!

Program Costs:

Registration Costs:
$55 per participant
$40 each per second or subsequent youth for families sending more than one youth
Non-4-H members may attend $75.00 per participant
Please send a separate registration form for each youth attending – form may be copied

Total Enclosed______________________________ 

Make checks payable to University of Maine, put 4-H EDGE on comment line and send to:
Kyle-Sadick  4-H EDGE Weekend
5741 Libby Hall
University of Maine
Orono, Maine 04469

Registration Deadline April 24, 2009
Cancellations after May 5 will be billed a 50% cancellation fee.

Important Questions - We Need Your Answers!

Are you planning to go to college?  Yes____ No­­­____ (Your answer has no influence on your registration) 

What are three things you hope to learn from EDGE? _________________________________________________________________________

_________________________________________________________________________ 

_________________________________________________________________________

We will be playing a game throughout the weekend – to prepare for that, we need your answer to this question “What is one interesting fact or unique characteristic about you that most people would not know?

_________________________________________________________________________ 

“During lunch at the EDGE Conference, you will have the opportunity to hear from former 4-H members who have now entered the workforce and have interesting careers. Wonder how they did that or how they like their present work? Write a question you want them to answer during the panel discussion : _________________________________________________________________________

Program Policies

All participants, both 4-H and non-4-H members, at the 4-H EDGE Weekend must send in a 4-H Program Participant Permission, Agreement and Health (PPPAH) form and a University Photo Release form with their registration. These are available on the 4-H EDGE website to be downloaded and sent in with the registration form or will be sent with the registration form if it is sent from the county office.  In addition to the standard 4-H rules and agreements, parents and participants should be aware of the following 4-H EDGE policies….

  • Participants will be assigned a double occupancy room in the residence hall and should stay in their assigned room. The University requires that we know where each participant is staying.
  • Participants are responsible for any damages which occur to the room during their stay. 
  • Any disturbance or emergencies should be reported to a chaperone or night supervisor. 
  • Participants must be in the dormitory at the end of the last evening activity, lights out at 11:15 p.m.
  • 4-H appropriate clothing required at all times-dress code information will be included in your participant packet
  • Participants should stay in areas where activities are taking place.  Do NOT leave any activity without notifying a chaperone.
  • Any medications needed by youth during the weekend will be given to the camp nurse at registration.  She will administer doses as needed throughout the weekend.
  • A lost key can have a fee up to $50.00.  Participants agree to pay this fee should they lose their room/building keys

I have read and agree to abide by the policies outlined above - Parent and Participant should each sign below

____________________________________________________
Participant Signature

____________________________________________________
Parent Signature

_____________________________________
Date

Schedule Notes

Bus Schedules will be sent with your registration packet
On May 15, Registration will take place at Hart Hall from 5:00 pm -7:00 pm
On May 16, the program will end at 4:30.
Parents may meet their youth at Hart Hall between 3:00 and 3:30 pm to pick up belongings and then accompany them to our closing event.

To find schedules for the whole 4-H EDGE Weekend, check the website http://www.umext.maine.edu/4h/events/edge.htm

You will receive maps with your participant packet.

Registration Check List

Make sure you have included everything with your registration

_____ Completed Registration form
_____Check to cover fee
_____Photo Release
_____4-H Program Participation Permission, Agreements, and Health, Form
_____Liability waiver for swimming and rock climbing –same form covers both activities

 

For more information on educational programs in your area, contact your county Extension office.


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