Questions? Comments?

Please Contact:

Olivia Klinzmann Phone: 970-443-8561

E-mail: anneliese.klinzmann@jacks.sdstate.edu

OR

Angela Wick Phone: 952-769-3307

E-mail: angela.wick@jacks.sdstate.edu

Jackrabbit

Dairy Camp

South Dakota State University Dairy Club

Proudly Presents...

JUNE 2ND-4TH

2016

Jackrabbit Dairy

Camp 2016

SDSU Dairy Club

Attn: Olivia Klinzmann

1808 8th Street #30

Brookings, SD 57006

Please send your registration to:

TENATIVE CAMP SCHEDULE

THURSDAY, JUNE 2ND

12:30 PM –1:30 PM REGISTRATION

1:30 PM – 2 PM WELCOME & COUNSELOR

INTRODUCTIONS

2 PM– 4:30 PM WORKSHOP: DAIRY CATTLE

JUDGING CONTEST

4:45 PM– 5:15 PM HEIFER VIEWING

5:15 PM- 6 PM SUPPER

6 PM– 6:45 PM HEIFER AUCTION

7 PM– 8 PM WORK WITH HEIFERS

8:30 PM– 9:30 PM EVENING ACTIVITY

10:30 PM LIGHTS OUT

FRIDAY, JUNE 3RD

8:00 AM– 8:45 AM BREAKFAST 9:00 AM– 11:00 AM WORKSHOPS

SDSU PLANT TOUR ( GROUP 1 )

ICE CREAM TASTING & CHEESE MAKING ( GROUP 2 )

11 AM – 12 PM SHOWMANSHIP WORKSHOP 12 PM – 12:45 PM LUNCH 1 PM – 3 PM WORKSHOPS

DIGESTIVE SYSTEM ( GROUP 1 ) ARTIFICIAL INSEMINATION ( GROUP 2 ) 3 PM – 3:30 PM FITTING WORKSHOP

3:30 PM – 6 PM WORK WITH HEIFERS 6 PM –7 PM SUPPER 7:30 PM – 10 PM EVENING ACTIVITY

10:30 PM LIGHTS OUT SATURDAY, JUNE 4TH

8:00 AM – 8:50 AM BREAKFAST/DORM CHECKOUT 8:50 AM – 10 AM HEIFER PREPARATION

10 AM– 11 AM SHOWMANSHIP SHOW 11 AM– 11:30 AM AWARDS/ CLOSING CEREMONY 11:30 AM– 12:30 PM GRILL OUT WITH PARENTS

12:30 PM PICK-UP AT FARM / DAIRY FEST*

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

local community for educating the public about the industry.

After the grill out, dairy camp staff and campers families are

encouraged to go and check out the Dairy Fest located at the

Swiftel Center.

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

the 14th 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 hands

-on with heifers throughout the camp. We are excited 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 45 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 April 1st to May 14th.

Confirmation letters will be sent out upon regis-

tration forms being received in the mail.

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 2016

June 2nd-4th, 2016

Registration Checklist Please Enclose:

Registration Form

Check payable to “SDSU Dairy Club” for $60

Health Form

Liability Form

Photo Release 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 2016 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_________________

 University Marketing & Communications Communications Center 105, Box 2230 South Dakota State University Brookings, SD 57007-1498 Phone: 605-688-6161

   

Photo/Video/Audio Release Authorization and Use of Photographs and/or Recordings All activities of South Dakota State University may be recorded, videotaped, audiotaped, and/or photographed. I give my permission for the South Dakota Board of Regents and South Dakota State University (collectively “University”) to record, videotape, audiotape, photograph, edit or otherwise reproduce my voice, image or likeness, and to use it perpetually in various formats for the purposes within the University’s mission. Distribution methods may include, but are not limited to, the classroom, television, Internet, print publications or any other medium now existing or later created. If the University judges that the mission may benefit from the use of the photographs and/or recordings, the University may publish or sell (not for profit) them for academic purposes, or use them in any other professional manner the University believes is proper. The University retains the right not to use the photographs or recordings. Any copyright-protected works which I deliberately provide or otherwise include as part of the recordings or images are either my own property or works for which I have the permission of the copyright owner to use in this way. I grant, assign, and convey to the University all right, title and interest I, my heirs and assigns may have in and to any photographs and/or recordings made under this consent. I understand this total release of rights irrevocably means that the University may, without limitation, exercise all ownership rights including copyrights relating to the photographs and/or recordings. This term does not apply to the content of the photographs and/or recordings. I agree to defend, indemnify and hold harmless the University from and against any and all liability, loss, cost, or damage which it may incur as a result of my participation in this recording. I hold harmless, release and forever discharge the University and its officers, agents, and employees from all claims, demands and causes of action which I, my heirs and representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate. I understand that the photographs and/or recordings belong to the University, and I agree that I will not receive payment or any other compensation in connection with the photographs and/or recordings. I waive the right to approve the final product. I agree that all such photographs, video recordings and audio recordings, and any reproductions thereof, are and shall remain the property of the University. I understand that some photographs of enrolled students may be considered educational records under the Family Educational Rights and Privacy Act of 1974 (FERPA), and that by granting this Release I hereby give the University my consent to use such educational records for the purposes set forth above. I have had the opportunity to seek my own legal counsel regarding this document. Name (Printed): _____________________________________________________________________________________

Signature: __________________________________________________________________ Date: __________________

Phone: ___________________ Email: ___________________________________________________________________

Address: ____________________________________________________________________

City: _________________________________ State: ________ Zip: ____________________

If signed by someone other than the person appearing (such as a parent of a minor child), I warrant that I have the authority to grant this permission on behalf of the person(s) appearing. Parent/Legal Guardian Signature (if under 18):

_______________________________________________________________ Date: ________________