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Daily Schedule

7:00 am 7:20 7:30 8:15 8:30 8:45 9:40 10:35 11:30 12:15 pm 12:30 1:30 2:45 3:45 4:15 5:30 6:30 7:00 8:00 10:00 10:30 Wake up Flag Service Breakfast Camp Clean-up Morning Assembly Class 1 Class 2 Class 3 Class 4 Get Ready for Lunch Lunch Afternoon Activity Recreation 1 Camp Store Recreation 2 Dinner Flag Service Camp Store & Group Meetings Evening Programs Prepare for Bed Lights Out!

Holiday Lake 4-H Educational Center is dedicated to serving all people regardless of race, color, national origin, sex, religion, age, disability, political beliefs, sexual orientation, or marital or family status. An equal opportunity/affirmative action employer. Individuals with disabilities desiring accommodations should notify the Appomattox County Extension Office at (434) 352-8244 during business hours of 8 am to 5 pm, Monday thru Friday, by June 29, 2012, to discuss accommodations.

Appomattox, VA
July 30 - August 3, 2012
(Monday Friday) Hey, are you ready for some fun?
What does your summer hold for you? Want to have some real fun? Then come to 4-H Summer Camp for a week packed with exciting activities and new outdoor skills to learn. Join

Cut along dotted line and return application with deposit

Holiday Lake 4-H Center

your old friends, or make some new ones, while attending fun filled classes. The nights are packed full of fun too. You may sit at a big campfire and sing songs or listen to exciting stories, have a night swim, enjoy an exciting evening program, or participate in a talent show. Each night is different and every day a new beginning!

and registration is taken on a first come, first served basis. A limited number of scholarships are available. Contact the Extension Office to receive scholarship information.

Camper Name ___________________________ Home Address __________________________ City ________________ State ___ Zip ______ Male __ Female __ Age ___ Birthdate _______ E-mail ____________________ Grade _______
*T-Shirt Size: YS YM AS AM AL AXL AXXL
(*If registration received before July 14, 2012)

Camper Age: 9 to 13 years old


(or turns 9 by Sep. 30, 2012)

Cost to Camper and CIT $165 Second Child


Make checks payable to: VCE - Appomattox Mail completed application and deposit to:

Appomattox County Extension Office PO Box 488 Appomattox, VA 24522


The Counselor in Training (CIT) Program is available for youth ages 13 and 14 who are interested in becoming teen leaders next year. Please call to schedule an interview (434) 3528244. After you register, you will receive a packet of forms to be completed and returned which includes the class sign-up sheet and roommate request, health history form, 4-H enrollment form, and others.

Phone Number (day) _______________________ Phone Number (evening) ____________________ Parent/Guardians Name ____________________
I (we) give permission for _________________________ (name of camper) to attend Junior 4-H Camp. I understand that the remaining fees must be paid no later than July 6, 2012, unless my child has been approved for a camp scholarship.

____________________________
Signature of Parent/Guardian

2012 Junior 4-H Camp Application


To register for 4-H Camp, complete and return this application, along with your $80 non-refundable deposit, to the Appomattox County Extension Office. Space is limited

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