2026 Camp White Tail

Welcome to the 2026 registration for Camp White Tail held at 4-H Memorial Camp October 23-25.

Camp Whitetail Hunter Safety weekend is packed with outdoor fun and learning. This event that provides not only a full hunter safety course with both classroom and hands on learning but also with lodging, meals, and family fun. In addition to classroom learning, the hunter safety course will offer in the field tree stand safety, live fire air rifle and shotgun, white-tail deer hunting program, wild turkey hunting program. There is a fee for each person attending the event to cover lodging and meals.

Accommodations
Guests are welcome to arrive Friday evening to enjoy an evening at 4-H Memorial Camp with a fishing, hiking, and campfire (Friday evening is optional for an additional fee). If weather is unfavorable there will be a warm fireplace in the dining hall. Lodging will be in log cabins in assignments of 2-10 people per cabin. No bedding provided.

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Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

ATTENTION To open consent and health form, which will be attached to your confirmation email, you will need Adobe® PDF Reader or a similar application.

1st Participant Name, Gender, Age An adult is required to attend with any participant under the age of 12.

2nd Participant Name, Gender, Age

3rd Participant Name, Gender, Age

4th Participant Name, Gender, Age

5th Participant Name, Gender, Age

Food Allergies & Dietary Requests Please indicate any food allergy that we need to be aware of or any othe rdietary requests such as vegetarian, gluten free, etc.

Total Registrations Please make your selections below

Course only (per person) ($58.00)

Lodging Saturday night plus course (per person) ($70.00)

Lodging Friday & Saturday night plus course (per person) ($90.00)

Extension Participant/Volunteer AGREEMENT TO ASSUME RISKS AND FULLY RELEASE ALL CLAIMS Extension Volunteer Agreement to Assume Risk/Approved for legal form by OUC/LMP/092018 Risks of Extension Activities. I understand that my participation in University of Illinois Extension activities can present risks of physical injury (including death or disability) to me and damage to my personal property. The University of Illinois does not guarantee my personal health or safety or protect me against property loss. Physical injury to me or property damage may result from known or unexpected risks arising from things such as: use of equipment, materials, or facilities; environmental conditions, including poisonous plants, insects, and extreme heat or cold and other weather-related hazards; natural disasters; water activities; transportation; actions of others; animal behaviors; unavailability of immediate or adequate emergency care; infectious diseases; and slips and falls. Risks of 4-H Equine Activities. Equine (horse, pony, mule, donkey, or hinny) activities present dangerous risks of injury and harm, regardless of the safety measures taken. If a horse or other equine animal is frightened or provoked, I understand that it might ignore its training and act according to its natural survival instincts, which may include actions such as unexpected change of directions or speed; running; sudden movement or stopping; shifting weight; bucking; rearing; kicking; and biting. I understand that UNDER THE ILLINOIS EQUINE ACTIVITY LIABILITY ACT, EACH PARTICIPANT WHO ENGAGES IN AN EQUINE ACTIVITY EXPRESSLY ASSUMES THE RISK OF ENGAGING IN AND LEGAL RESPONSIBILITY FOR THE INJURY, LOSS, OR DAMAGE TO PERSON OR PROPERTY RESULTING FROM THE RISK OF EQUINE ACTIVITIES. Risk of equine activities means dangers including but not limited to: (1) propensity of an equine to behave in ways that may result in injury, harm or death to persons on or around them; (2) unpredictability of an equine’s reaction to sounds, sudden movement, and unfamiliar objects, persons, other animals or other things; (3) certain hazards such as surface and subsurface conditions; (4) collisions with other equines or objects; and (5) the potential of a participant to act in a negligent manner that may contribute to injury, such as failing to maintain control over the animal or not acting within his or her ability. Risks of 4-H Shooting Sports Activities: Shooting sports involve the use of firearms, live ammunition, or archery equipment. I understand that there are inherent dangers associated with my participation in shooting sports, including observation. The potential dangers include, among other things, gunshot or archery wounds that can result in paralysis or loss of vision, limb, or life. Assumption of Risks and Release of Claims: In consideration for allowing me to participate in Extension activities, I voluntarily assume all risk of injury and loss that I may sustain or suffer in connection with my participation in the activities described in this Agreement, and I forever and fully release, waive, and discharge all claims, demands, actions, and causes of action, known or unknown, that I have or that may accrue to me in the future (“Claims”) against the Board of Trustees of the University of Illinois, its officers, employees, agents, and volunteers (individually a “Releasee”) for personal injuries (including death), damage to property, and all liabilities, losses, costs, and expenses (including attorney fees) arising out of or resulting from my participation in Extension activities, including all Claims arising, in whole or in part, from the negligence of any Releasee. This Agreement is binding on my heirs, assigns, and representatives. Effective Date: This Agreement is effective on the date signed by me (“Effective Date”) and replaces any similar agreements previously signed by me as to Extension activities that occur on or after the Effective Date.

Yes, I consent

Talent Release/Waiver for minors and children under the age of 18 I, the undersigned, on behalf of the minor child named below, do hereby consent to the use by The Board of Trustees of the University of Illinois (“University”) of the minor’s image, voice, or both described below, in (1) the video, photograph, or audio recording described below; and (2) any video, photograph, or audio recording reproduced either in whole or in part from the video, photograph or audio recording described below: regardless of whether these materials are used for fundraising, advertising, publicity, or any other purpose on behalf of either the University or its Foundation. I warrant that I have the full right and authority to grant this consent. In addition, I waive all claims to compensation or damages based on the use of image or voice, or both, of the named minor, by either the University or the Foundation. I also waive any right to inspect or approve the finished photograph or video or audio recording. I understand that this consent is perpetual, that I may not revoke it, and that it is binding on me, my heirs and assigns. I warrant that I am at least 18 years of age and that I am competent in my own name insofar as this consent is concerned, and that I am the parent or legal guardian authorized to sign on behalf of a person under age 18. I further attest that I have read this consent form and fully understand its contents.

Yes, I consent.

No, I do not consent.

Signature line will be in PDF confirmation.

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Street Address

City

State

Zip Code

Best Contact Day Phone Please use format xxx-xxx-xxxx in case of emergency, we will contact you at this phone number.

Best Contact Evening Phone Please use format xxx-xxx-xxxx Please use format xxx-xxx-xxxx In case of emergency, we will contact you at this phone number. If it is your cell phone, we suggest that you add the 4-H Camp phone number to your contacts. (217) 762-2741

Parent/Guardian Email Address Please use an email that is your best contact or that you use on your smart phone. We will use this email to send you a confirmation of registration, send your packing list information as well as any important updates or alerts. Any news regarding your child's camp session will FIRST be sent by email, so please use one that you check often. This should be the same email as listed in the contact information at the beginning of the registration.

Alternate Contact First Name In the event of an emergency, if we cannot reach the parent, please list an additional person that we may contact.

Alternate Contact Last Name

Relationship to Camper

Alternate Contact Phone Number Please use format xxx-xxx-xxxx

Alternate Contact Email Address

WHAT COMES NEXT? In Step 2, you will have the opportunity to correct any errors. Look over the information you provided and make any corrections by hitting your browser's back button. Your confirmation email will be sent to the email listed in the contact information, please verify that this is an email you check regularly.

Once you proceed to Step 3, the system does not allow you to return to previous pages.

In Step 3 you will select a payment type of either CHECK or CREDIT CARD. Charges on your credit card statement will say UNIVERSITY OF ILLINOIS.

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Next Step

Step 2- Complete IDNR registration at https://dnr.illinois.gov/safety/huntersafety.html

Total Registration Cost $