Junior Vet University Registration

Welcome to Junior Vet University!

We are excited to offer this unique learning experience for your child. Come learn about what a veterinarian does, talk with actual veterinarians, and participate in hands-on learning acitivities.

The Details
- Location: Sauk Valley Community College
- Date: Saturday, July 11, 2026
- Time: 9:00 a.m. to 12:00 p.m.
- Fee: $30 per child
- Registration Deadline: June 26, 2026. Registration after the 26th does not guarantee a camp t-shirt.
- A maximum of 75 kids will be allowed
- JVU is for kids between 8-12 years of age
- Registration is taken on a first-come, first-serve basis
- Additional camp details will be sent to the email address provided in this application.
QUESTIONS?

Contact Matt Lilpop with Whiteside County Farm Bureau

(815) 772-2165 | matt.wcfb@gmail.com

WE HAVE MAXED OUT THE NUMBER OF 10-12 YEAR OLDS. IF YOU WISH TO REGISTER A 10-12 YEAR OLD, THEY WILL BE ADDED TO A WAITLIST.

If you have questions, contact Matt with Farm Bureau at (815) 441-8572 (call/text) or matt.wcfb@gmail.com.
Child Information
Name: Child #1

First NameLast NameSuffix
Gender: Child #1
Please list food restrictions, if any:
Child's Age
Provide their age as of July 11, 2026
Shirt Size
Youth through adult sizes
I am registering another child:

Name: Child #2

First NameLast NameSuffix
Gender: Child #2
Please list food restrictions, if any:
Child's Age
Provide their age as of July 11, 2026
Shirt Size
Youth through adult sizes
I am registering another child:

Name: Child #3

First NameLast NameSuffix
Gender: Child #3
Please list food restrictions, if any:
Child's Age
Provide their age as of July 11, 2026
Shirt Size
Youth through adult sizes
I am registering another child:

Name: Child #4

First NameLast NameSuffix
Gender: Child #4
Please list food restrictions, if any:
Child's Age
Provide their age as of July 11, 2026
Shirt Size
Youth through adult sizes

Parent/Guardian Information
Name

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number
Format: (000) 000-0000.
You have permission to send text message to this phone number:
E-mail
Work Number
Format: (000) 000-0000.
Parent is also emergency contact:

Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Email
example@example.com
Phone Number
Format: (000) 000-0000.
You have permission to send text message to this phone number:

Medical Background
Does the child have any allergies, chronic illnesses, or medical conditions? If yes, please describe.
Will the child need to take any prescribed medications or carry an inhaler? If yes, please explain any instructions.

Participant Waiver

This Participant Waiver executed on the date below by the below signee ("Participant") releases Whiteside County Farm Bureau®, a nonprofit corporation organized and existing under the laws of the State of Illinois, its subsidiaries, and the directors, officers, employees and agents (collectively "Farm Bureau"). The Participant desires to attend Junior Vet University ("Activity") hosted by Farm Bureau and participate in the Activity.

I hereby voluntarily execute this Participant Waiver under the following terms:
1. Waiver and Release: I, the Participant, release and forever discharge and hold harmless Farm Bureau, its officers, directors, agents and emplyees and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from Activity attendance and participation. I understand and acknowledge that this release discharges Farm Bureau from any liability or claim that I may have again Farm Bureau with respect to bodily injury, personal injury, illness, death, or property damage that may result from Activity attendance or occurring while I am participating in the Activity.
2. Photographic Release: I grant and convey to Farm Bureau all right, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by Farm Bureau in connection with my Activity attendance and participation.
3. Other: As a Participant, I expressly agree that this release is intended to be as board and inclusive as permitted by the laws of the State of Illiois and that this release shall be governed by and interpreted in accordance with the laws of the State of Illinois. I agree that in the event that any clause or provision of this release is deemed invalid, the enforceability of the remaining provisions of this release shall not be affected.
Signature
Date

MonthDayYear
Date

Registration Fee

If you prefer to mail payment, uncheck to box next to "Junior Vet University Registration". If registering more than one child, change the number in the Quantity box.

If mailing registration fee, send to:

Whiteside County Farm Bureau® Foundation

100 East Knox Street

Morrison, IL 61270

Junior Vet University Registration$30.00

Registration per person for JVU

Quantity

Total $0.00

Payment Methods

Credit Card

Cash App Pay

Should be Empty:

Medical Background

Payment Methods