2016Livestock & Horse Volunteer Certification Workshops

November 19, 2016

Lake Cumberland State Resort Park

5465 State Park Road

Jamestown, KY 42629

800/325-1709

Registration due by October 21 (in hand – State 4-H Office)

*Lodging rooms must be reserved by October 18to guarantee the group rate. (40lodge rooms are available in our block - plus cottages.)

$66.95 /lodge room; single or double occupancy. ($2.00 Park resort fee included in this rate)

December 3, 2016

General Butler State Resort Park

1608 Highway 227

Carrollton, KY 41008

866/462-8853

Registration due by November 4(in hand – State 4-H Office)

Lodging rooms must be reserved by November 1 to guarantee the group rate. (32lodge rooms are available in our block – plus cottages.)

$71.95 /lodge room; single or double occupancy. ($2.00 Park resort fee included in this rate)

Registration Fee: $105.00 per personOR $115.00 per personfor both horse and livestock

Registration includes lunch, break, meeting facilities fees, materials, curriculum, user fees and surcharges.

Workshops begin at8am on Saturday and end no later than4:30 pm on Saturday, local time. Registration is limited to 60 total volunteers per session.

***YOU MUST BE PRESENT FOR THE ENTIRE WORKSHOP

TO BECOME CERTIFIED.***

Please Note: Only those volunteers attending to be certified will be allowed in the training rooms.

Teaching Kit Fee:$800 per county (for the first county kit). Each county mustpossess both a complete Livestock Kit(if you have Certified Livestock Volunteers) and a complete Horse Kit(if you have Certified Horse Volunteers). For counties that have previously purchased the OSU Horse Kit, the KY Horse Kit Supplement is $200. ALL counties with Certified Horse Volunteers must possess the KY Horse Kit Supplement in addition to the OSU Horse Kit.

Space is limited!

Register early in order to secure a spot at your desired location!

Lodging:

Lodging reservations are the responsibility of the attendee. Please contact the state resort park in orderto make your own room reservations. Please mention “4-H Volunteer Certification” when making your reservation. +++Also, if your lodging is tax exempt, please let the Park know at time of making the reservation and provide necessary documentation directly to the Park.

Complete the information on page 2 (the registration form) and returnpage 2.

2016Livestock & Horse

Volunteer Certification Workshops

Registration Form

Name:
County:
Street:
City: / Zip:
Phone: / E-mail:
Emergency Contact:______/ Emergency Phone:______

Which type of certification will you be obtaining? (circleonly oneof the three choices) Livestock Horse Both Livestock and Horse

Which workshop location will you attend? (Indicate first and second choices.)
November 19, 2016 Lake Cumberland State Resort Park
December 3, 2016 General Butler State Resort Park

Please enclose check with registration form. Make checks payable to: “Kentucky 4-H Foundation” and note“Volunteer Certification Workshop” on the memo line. Mail the completed form and check to:

Bob O’Brien

212 Scovell Hall

University of Kentucky

Lexington, KY 40546-0064

AGENTS: I verify that this individual has completed the entire volunteer screening process. Application will not be accepted until this process is complete. I verify that the following documents are completed, signed and included in the volunteer’s file: application, references, background check, behavioral guidelines and position description.

Agent’s Signature:
The most current background check for this volunteer was run by IntelliCorp on:

Please contact Steve Austin( or 859-257-7544) or AshleyOsborne (or 859-218-0986) if you have questions.