4-H Passport to the Outdoors

This is a great series filled with opportunities to get kids outside and in touch with the outdoors!

Experience some basic skill sets that can be beneficial for a lifetime like:

Fishing
Vegetable Gardening
Natural Resources
Shooting a bow and arrow.

Each participant will receive a passport where youth can add their photo and also have it stamped at each part of the series they participate in!
This program has multiple dates, times, and locations as follows:

GARDENING:

Day 1 of 2 | June 27 | 9:00 AM to 10:30 AM | 4-H Memorial Camp | 499 Old Timber Rd. | Monticello, IL 61856
Day 2 of 2 | August 8 | 10:00 AM to 12:00 PM | 4-H Memorial Camp | 499 Old Timber Rd. | Monticello, IL 61856

HIKING:

Day 1 of 3 | July 9 | 9:00 AM to 11:00 AM | Rock Springs Conservation Area - Parking Lot | 3939 Nearing Lane | Decatur, IL 62521
Day 2 of 3 | July 30 | 9:00 AM to 11:00 AM | Sand Creek Conservation Area | 4314 S Franklin Street Rd. | Decatur, IL 62521
Day 3 of 3 | August 1 | 8:00 AM to 10:00 AM | Weldon Springs State Park - School House | 4734 Weldon Springs Rd. | Clinton, IL 61727

FISHING:

Day 1 of 5 | July 16 | 4:00 PM to 7:00 PM | Clifton Lake - Monticello | 1026 E. 1765 North | Monticello, IL 61856
Day 2 of 5 | July 18 | 7:30 AM to 10:00 AM | Weldon Springs State Park - Concession/Harbor | 4734 Weldon Springs Rd. | Clinton, IL 61727
Day 3 of 5 | July 20 | 7:30 AM to 12:30 PM | 4-H Memorial Camp | 499 Old Timber Rd. | Monticello, IL 61856**
Day 4 of 5 | July 22 | 7:30 AM to 10:00 AM | Bement Forest Preserve Park | 700 E. Wilson St. | Bement, IL 61813
Day 5 of 5 | July 24 | 7:30 AM to 10:00 AM | Cerro Gordo Veterans Park - South of Jr./Sr. High School

**All sections of this program are free, except for the July 20 date. There is a $7 fee due at the time of registration, with a maximum of $20 per family.

Youth ages 5 - 18 are welcome!
*note youth ages 5-7 must be accompanied by an adult

For questions and to request reasonable accommodations please contact, Eric Eickmeir.

Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

How many participants will be attending in your group?

Please list the names of all participants attending in your group.

Please list the ages of all participants attending in your group *ex.) John Smith - 5 years old

I would like to attend the 4-H Passport to the Outdoors for Gardening on:

Gardening Day 2 of 2 | August 8

I do not want to participate in this section of the program.

I would like to attend the 4-H Passport to the Outdoors for Hiking

Hiking Day 1 of 3 | July 9

Hiking Day 2 of 3 | July 30

Hiking Day 3 of 3 | August 1

I do not want to participate in this section of the program.

I would like to attend the 4-H Passport to the Outdoors for Fishing *if registering for Fishing Day 3 of 5, please proceed to the next question

Fishing Day 1 of 5 | July 16

Fishing Day 2 of 5 | July 18

Fishing Day 4 of 5 | July 22

Fishing Day 5 of 5 | July 24

I do not want to participate in this section of the program.

I would like to attend the 4-H Passport to the Outdoors on Fishing Day 3 of 5 for a fee.

Yes, I am registering one participant. ($7.00)

Yes, I am registering two participants. ($7.00)

Yes, I am registering more than two participants. ($20.00)

No, I would not like to attend this part of the series.

Is anyone participating, in your group, currently a 4-H Member?

Yes

If someone in your group is currently a 4-H Member, what club are they a part of? *if none please input N/A

Please list any questions you would like answered during this event. *if none please input N/A

Do you need any support or accommodations to participate in this program? *early requests are encouraged to allow sufficient time for meeting access needs.

Please list any food allergies, sensitivities, or health conditions your child may have that we should be aware of. *if none please input N/A

Civil Rights Compliance - Participant Info

As part of our commitment to providing equal opportunities in our programming, University of Illinois Extension is required to collect and report overall statistics about the race, ethnicity, and gender of program participants. Your responses are voluntary and appreciated.

Gender

Ethnicity

Race

Total Registration Cost