DeKalb County 4-H Fair
Dog Show Entry Blank
All entries are due JUNE 22
Name of Exhibitor
4-H Club
Address
State
City/Town
Zip
Date of Birth
Phone #
Please indicate how many dogs you plan to exhibit
4-H’ers are limited to one entry per class.
Dept.
Example
Dogs/ Dept. p
Premium
Number
Class Description
901
Beginning I Dog Obedience
Mail or bring one copy to
DeKalb County Extension Office,
1350 West Prairie Drive, Sycamore, IL 60178.
4-H Dog Aggression Test
Handler’s Name:
Dog’s Name:
Date Dog Obedience Classes Completed:
Note to the dog obedience instructors: Please answer the following questions about the
behavior you have seen from this dog during your dog obedience class. By answering the
following questions you will NOT be held legally liable for the dog’s behavior. Rate the
following 1-10 by circling the numbers.
Is this dog aggressive towards the handler?
1 2 3
(not aggressive)
4
5
6
7
8
9
10
(very aggressive)
Is this dog aggressive towards other dogs?
1 2 3
(not aggressive)
4
5
6
7
8
9
10
(very aggressive)
Has this dog been aggressive towards you as the instructor?
1 2 3
(not aggressive)
4
5
6
7
8
9
10
(very aggressive)
Would you trust this dog around other people?
Yes
No
Would you trust this dog around other dogs?
Yes
No
Do you have any other concerns about this dog participating in a 4-H dog show viewed
by the public?
Dog obedience instructor’s signature
Date
Print instructor’s name
Training facility