4-H Dog Project Member Information Sheet for Jr.

Fair Dog Shows

(Note: This form can be used to keep track of the classes in which 4-H members & dogs have shown. Use one form for each project dog.)

4-Hers Name ______________________________________Club ____________________________ 2010 4-Hers Age (1/1) Dogs Call Name Breed Color/Markings Gender Age Class Shown County Placing 2011 2012

Class Shown County Placing Class Shown County Placing

Class Shown County Placing

Comments:

Lucinda B. Miller, Extension Specialist, 4-H Youth Development, Ohio State University Extension 01.12

2012 Brown County 4-H Dog Project Registration

This form can be used as a Dog Project Registration tool.

4-Hers Name Address

P. O. Box or Street City

Age (1/1/12)

Zip

Phone No. 4-H Club Dogs Breed Age Birth Date

Mo/Da/Yr

Email Dogs Call Name Color/Markings Check () if Male ____ Neutered ___ Female ____ Spayed ____

You must be enrolled in the correct dog project (listed on enrollment form) to show in that class. Check the project(s) you are taking with this dog: ____You & Your Dog 201D ____Obedience 201O ____ Showmanship 201S ____Performance 201P ____Working 201W
Check () the appropriate class (classes) you plan to enter in for judging. Classes must meet the county project requirements. ___Beg. Novice A ___Pre-Novice ___Novice A ___Beg. Novice B ___Jr. Showmanship A (8-11yrs.) ___Jr. Showmanship B (8-11 Yrs.) ___Intermed. Showmanship A (12-14 yrs.) ___Intermed. Showmanship B (12-14 yrs.) ___Rally Novice A ___Sr. Showmanship A (15-18 yrs.) ___Sr. Showmanship B (15-18 yrs.) ___Rally Novice B ___Agility ___Novice B ___Grad Nov A ___Open A ___Grad Nov B ___Open B ___Grad Open A ___Grad Open B

___You & Your Dog, Junior (8-11 yrs.) ___You & Your Dog, Interm. (12-14 yrs.) ___You & Your Dog, Senior (15-18 yrs.) ___Rally Advanced A ___Rally Advanced B ___Assistance Dogs ___Brace ___Sub Novice Team ___Adv. Team

____ Other Dog Activities (i.e. Drill Team, Freestyle) ____________________________________________________ ____I plan to make a poster for the 4-H Dog Poster contest. Check () the correct age division. ____Junior (8-11 yrs.) ____Intermediate (12-14 yrs.) ____Senior (15-18 yrs.)

By signing this registration form, we, the 4-H member and parents/legal guardians, agree to abide by the guidelines, rules and laws set forth by the Ohio Department of Agriculture, Brown County Senior Fair Board, and Brown County 4-H Advisory Committee. (Both the 4-H member & parents/legal guardians must sign this form.) Signature of 4-H Member Signature of Parents/Legal Guardians Date Date

A separate form must be completed for each dog registered. Dogs cannot be switched after June 1, 2012. This form must be received in the Brown County Extension Office no later than 4 p.m., on June 1, 2012.
Lucinda B. Miller, Extension Specialist, 4-H Youth Development, Ohio State University Extension, 01.12