Nebraska Farmers
Union
Youth
Camp
Nebraska Farmers
Union
Youth
Camp
August 3-6, 2008
4-H Camp, Halsey, NE
Who? Ages 8-16
What
does it cost?
$110 per camper
$ 15/transportation
(Some limited scholarships based on
financial need are available.)
Where? 4-H Camp, Halsey, Nebraska.
When?
Sunday, August 3 through Wednesday, August 6, 2008.
How
do we get there? Nebraska Farmers Union Foundation helps
sponsor a bus to camp and back with arranged stops such as Beatrice, Cortland,
Lincoln, York, and Cairo depending on the campers. The fee for transportation is $15 per camper. If the bus is not convenient, NEFU will help
you carpool where possible.
Why
do kids come back to NEFU Summer Youth Camp year after year? Four great days of cooperative games
and coop education, water sports, traditional camp activities, leadership and
self-esteem-building, rural values, rural pride and fun.
Contact us:
Nebraska Farmers Union
1305 Plum
Lincoln NE 68502
NEFU office phone: 402-476-8815 or
Email:
terri@nebraskafarmersunion.org
SIGN UP TODAY!!!!
2008 YOUTH CAMP
REGISTRATION FORM
Camper's
name___________________________________________________
Birthdate _________________ Gender (M/F)_____________
Address___________________________ City
_________________ Zip
_________
County___________________ Hometown Newspaper___________________________
Parent /guardian name_______________________________
Home Phone (___)_________Work Phone (___)_________Cell
Phone (___)__________
Family Dr.'s name ________________________ Dr.'s
phone(___)______________
Nebraska
Farmers Union member family (Yes/No)___________
Want
to ride the bus (Yes/No)__________
Need
help finding rides (Yes/No) ___________
Medical
conditions/ prescription medications/dietary restrictions/ allergies
(please
list)___________________________________________________________
___________________________________________________________________
Does
this camper have behavioral/emotional problems camp staff need to know? (Y?N)
If yes, please
explain______________________________________________________
________________________________________________________________________
Authority
for medical or surgical care
This
is a release authorizing any certified employee of the 2008 Nebraska Farmers
Union Youth Camp or the 4-H Camp to call any authorized doctor or first aid
unit to administer medical aid and treatment to my child (named above) at any
time when it is believed an emergency exists.
This would include medication, minor surgery, major surgery, anesthesia,
hypodermic injection, oxygen, x-ray or other treatment as may be indicated.
Signature
of parent or guardian:______________________________Date: ___________
Complete this form
and mail it along with your payment $125.00
($110 per camper + $15/for transportation).
Please MAIL BY July 21 to hold your place at camp.
MAIL TO: Nebraska Farmers Union
1305 Plum Street
Lincoln
NE 68502