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4‐H Dog Project Record Name_________________________________________ Girl____ Boy____ Age_____ Year born_____________ (first) (last) Club Name__________________________________ Leader_________________ County_____________________ Year in 4‐H______ Year in this project______ Date project started____________ Date project closed____________ (mo/day/year) (mo/day/year)
A record is part of your 4‐H project. Keep your record neat, clean, and up‐to‐date. If you need help, ask your parents or leader. If you need more space, attach another sheet of paper. My dog’s name is___________________________________________ Sex__________________________ Breed_____________________________________________________ __Purebred __Mixed Breed Is your dog registered in: __American Kennel Club __American Field __Other:_____________________ Dog’s Age______ Year of birth______ Month__________________ Day______ Weight_______ Height__________ Vaccination Records and Dates Distemper________________________________ Leptospirosis________________________________ Hepatitis_________________________________ Rabies_____________________________________ Parvovirus________________________________ Other______________________________________ Parasite Control Records and Dates (specify species and veterinary treatment, if any) Internal________________________________ External________________________________ Training (Level of obedience completed: Sub‐Novice, Novice, Graduate Novice, Open, Open Challenge, Utility) ______________________________________ Date
______________________________________ Date
(Other: Brace, Team, Hunting, etc.) ______________________________________ Date
______________________________________ Attach a photo of you and your dog in this space Date
763‐11R
4‐H Youth Development May 2014 Record of Training of Dog Check commands that your dog obeys and tricks that it has learned. List any additional commands, tricks, or stunts. Commands Tricks __Heel on leash __Down and stay __Sit up __Roll over __Heel off leash __Down __Play catch __Jump __Come when called __Sit and stay __Carry __Don’t touch it __Sit __Fetch __Play dead ______________________________________ ______________________________________ ______________________________________ ______________________________________ Did you and your dog attend and graduate from an obedience training class? __Yes __No In what way did you exhibit your dog? __Bench Show __Sanctioned Match __Obedience Trial __Field Trial __Stock Dog Demonstration __Fun Match __County 4‐H __Club Tour __Graduation __Showmanship Exhibit Record Name of Show Date Class Number in Class Placing 4‐H Youth Development 763‐11R May 2014 Expense Record Date Item Include food, veterinary costs, equipment, toys, etc. Cost
Date
Item Cost
Expense Record If you raised puppies for sale, made money caring for other people’s dogs, or received prize money, list below. Date Source of Income
Amount
Things I Hope to Do and Learn This Year __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ 4‐H Youth Development 763‐11R May 2014 Things I Did with My 4‐H Club This Year Tell about your participation in club activities. Number of Members__________ Number of Meetings Held__________ Number I Attended__________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ Things I Hope to Do Next Year __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ Record Review and Comments ____________________________________ has completed their records and I have reviewed them with (Member) him/her. Comments by leader: _____________ ____________________________________________________________ _______________________________________________________________________________________ ____ Signed _________________________________ 4‐H Leader ©2014. Oregon State University 4‐H Youth Development. This publication was adapted from 4‐H 120R. Oregon State University Extension Service offers educational programs, activities, and materials– without discrimination based on race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, or disabled veteran or Vietnam‐era veteran status. Oregon State University Extension Service is an Equal Opportunity Employer. 4‐H Youth Development 763‐11R May 2014

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