COVER PAGE – PLEASE
KEEP
Fort Clover
Alabama 4-H Youth Development Center
May 7 – 9
For Children of National Guard, Reserves, and Recruiters
Alabama 4-H will host an all-expenses paid weekend getaway for 100 children of Alabama’s "citizen soldiers" on May 7 - 9. Fort Clover will be held at the Alabama 4-H Youth Development Center near Columbiana in Shelby County. It is open to children ages 12 to 19 of National Guard, Reserve and recruiters on a first-come, first-served basis. We will accept the first 100 applicants. If there are more than 100 applicants, we will investigate the possibility of holding an additional retreat at a later time.
The focus of Fort Clover will be on having fun. There will be a variety of exciting outdoor activities, such as a climbing wall and canoeing. It will also offer lots of opportunities to get to know other young people who may be facing the same challenges you face. Meals and lodging will be provided by Alabama 4-H.
Fort Clover is a part of Operation Military Kids, a cooperative effort of the Army and Cooperative Extension System 4-H youth development programs.
Participants will need to bring:
_ Bed Linens or Sleeping Bag _ Pillow (Optional) _ Towel _ Wash Cloth and Soap
Clothing should be appropriate for school recreation. Athletic or other comfortable closed-toed shoes will be required for outdoor activities such as the Climbing Wall and the Ropes Course.
A detailed schedule will be sent along with acceptance notification.
Transportation Note
It is our plan to provide limited, chaperoned bus service to Fort Clover.
- Departing from the Huntsville at 4 p.m., Friday, May 7.
Returning to Huntsville, Noon, Sunday, May 9.
- Departing from the Mobile area at 4 p.m., Friday, May 7.
Returning to Mobile, Noon, Sunday, May 9.
- Departing from the Ozark/Dothan area 4 p.m., Friday, May 7.
Returning to Ozark/Dothan, Noon, Sunday, May 9.
- Departing from the Montgomery area at 6 p.m., Friday, May 7.
Returning to Montgomery, 10 a.m. Sunday, May 9.
Some participants may wish to car-pool or personally deliver young people to the 4-H Center. It is easily reached from Montgomery and Birmingham.
They should plan to arrive between 4 and 8 p.m. on Friday, March 7. They should plan on departing by 10 a.m. on Sunday morning, March 9.
Chuck Hill, 4-H Specialist
Issued in furtherance of Cooperative Extension work, acts of May 8 and June 30,
1914, and other related acts, in cooperation with the U. S. Department of
Agriculture. The Alabama Cooperative Extension System (Alabama A & M
University and Auburn University) offers educational programs, materials, and
equal opportunity employment to all people without regard to race, color,
national origin, religion, sex, age, veteran status, or disability.
FORT CLOVER APPLICATION
Youth’s Name: _________________________________________________________
(First Name) (M.I.) (Last Name)
Gender: __ Male __ Female Age: _________ Date of Birth: ____________
Address: _____________________________________ City: _____________ Zip: ______
Home Phone: ( ) Parent’s Work Phone: ( )
Your Race/Ethnicity: __ African-American __ Caucasian __ Latino __ Native American/Alaskan __ Pacific Islander/Asian __ Mixed
Any Special Needs or Dietary Restrictions: ______________________________________________
Parent/Guardian’s Name: _________________________________________________________
(First Name) (M.I.) (Last Name)
Address: _____________________________________ City: _____________ Zip: ______
Home Phone: ( ) Parent’s Work Phone: ( )
Military Parent’s Name: ___________________________________________________
(Rank) (First Name) (M.I.) (Last Name)
Military Parent’s Unit: ___________________________________________________
Transportation (Please see TRANSPORTATION NOTE on the cover page)
__ I will arrange transportation for my child to and from the Alabama 4-H Center
OR
My child will wish to receive transportation to the 4-H Center on one of the chartered buses.
___ Departing from the Huntsville area at 4 p.m., Friday, May 7.
Returning to Huntsville, Noon, Sunday, May 9.
___ Departing from the Mobile area at 4 p.m., Friday, May 7.
Returning to Mobile, Noon, Sunday, May 9.
___ Departing from the Ozark/Dothan area 4 p.m., Friday, May 7.
Returning to Ozark/Dothan, Noon, Sunday, May 9.
___ Departing from the Montgomery area at 6 p.m., Friday, May 7.
Returning to Montgomery, 10 a.m. Sunday, May 9.
It will be the responsibility of the youth to reach the departure location on time.
Detailed locations for departure will be forthcoming.
Some participants may wish to car-pool or personally deliver young people to the 4-H Center. It is easily reached from Montgomery and Birmingham.
They should plan to arrive between 4 and 8 p.m. on Friday, March 7. They should plan on departing by 10 a.m. on Sunday morning, March 9.
Fort Clover 4-H Photo/Video Release
I give my consent to the Alabama 4-H Office to record or photograph my child’s image to be used for 4-H educational and promotional programs and web sites, including State or National 4-H web sites and associated programs and sites for Military Youth. I understand that no personal information about me or my family, such as name, age or address, will be used with any photo or video. I give my permission to 4-H to use such images without any expectation of compensation.
Subject’s Name (adult or youth):_______________________________________
Name of Parent/Guardian: ___________________________________________
Address: _________________________________________________________
City: _______________________________ State: _______ Zip: ____________
Telephone: _______________________________________________________
Signature: ___________________________________ Date:________________
Signature of Parent or Guardian ________________________ Date:_____________
I
f subject is under age 18
Fort Clover Code of Conduct
Alabama 4-H wants to make sure that you fully enjoy your participation in Fort Clover, but we also want to be sure that the experience is pleasant and satisfying to everyone else as well. While participating in Fort Clover, you must:
Respect the individual rights, safety, and property of others.
Remember that you are a representative of your family and a guest of the Alabama 4-H Youth Development Center.
Fully participate in Fort Clover and attend all activities.
Avoid displays of overly affectionate behavior.
Not participate in obscene and/or discriminatory language, roughhousing, nor be insubordinate to the leaders in charge of the event or the chaperones.
Not possess or use weapons, alcoholic beverages, tobacco in any form, or illegal drugs.
No boys in girls’ dorms. No girls in boys’ dorms.
PENALTIES FOR INFRACTIONS
If you break the rules, the penalties and or disciplinary action may include any or all of the following:
Sending you home.
Barring you from future 4-H events.
Assessing you the cost of damages and repairs in the event of damage/destruction of property.
Releasing you to an appropriate law enforcement agency or other proper authorities.
Your parent(s) and/or legal guardian(s) will be notified of action taken.
I agree to follow these rules and I recognize the consequences if I do not.
Youth Participant Signature Date
As parents or guardians, we understand the activities and related rules that will be conducted/enforced at Fort Clover and agree that our child may participate.
Parent or Legal Guardian Date
Transportation
Some participants may wish to car-pool or personally deliver young people to the 4-H Center. It is easily reached from Montgomery and Birmingham.
They should plan to arrive between 4 and 8 p.m. on Friday, March 7. They should plan on departing between 11 a.m. and 12:30 p.m. on Sunday morning, March 9.
