4-H Stock Dog Project Record
Name_______________________Boy____Girl____Grade____Date_________, 20__________
Address _______________________City __________Zip_______ County_________________
Club Name __________________________________Leader(s)_________________________
Year in 4-H_____Year in Project______ Start Date ____________ End Date_______________
A record is part of your 4-H project. Keep your record neat, clean, and up-to-date. It’s best to use pencil. Write clearly.
If you need help, ask your parents or leader. If you need additional space, add notebook paper to your record.
INFORMATION ABOUT YOUR DOG
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 record and dates
___ Distemper____________________
____ Leptospirosis_______________________
___ Hepatitis ____________________
____ Rabies ____________________________
___ Other _______________________
____ Parvovirus _________________________
Parasite control records and dates: (Specify species and veterinary treatment, if any)
____ Internal _______________________
____ External _______________________
Training: level completed – puppy, basic, novice,
pre-novice, advanced
Date
__________________________________________
Date
__________________________________________
Date
__________________________________________
Date
Crook County Stock Dogs, February 2006
Attach photo of you and
Your dog in this space.
Record of Training – Dog & Handler
Score dog and handler on the following: (Rate from 1=low to 10=high)
Month
Dog
1
2
3
4
5
Down/Stand
6
7
8
Recall
Stop/That’ll Do
Left Flank/Go Bye Clockwise
Right Flank/Away to me Counterclockwise
Walk up
Steady
Outrun
Aggressiveness
Pressure
Lift
Fetch
Drive
Pen
Get back/out
Bites on command
Looks back
Handler
Commands
Authority
Relaxed
Pressure
Confidence
Exhibit Record
Show
Date
Class
Crook County Stock Dogs, February 2006
Number
in Class
Placing
9
10
11
12
Expense Record
Include food, veterinary costs, equipment, toys, etc. (complete month by month)
Date (mo/yr)
Item
Cost
Date
Item
Cost
Record of Income
If you raised puppies for sale, made money caring for other people’s dogs, or received prize money, list below.
Date
Crook County Stock Dogs, February 2006
Source of Income
Amount
Things I Hope To Do and Learn This Year
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
Project Review and Comments
______________________________ has completed his/her records and I have reviewed them with him/her.
(Name of member)
Comments by leader_________________________________________________________________________________
Signed __________________________________ 4-H Leader
(Parent may sign for individual member)
Crook County Stock Dogs, February 2006