4-H Dog Project Record
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44-H Dog Project Record
Grade in
Date
Name ___________________________________ Boy _____ Girl _____ school ______ born _______ , 19 ______
Address __________________________________ City ________________ Zip _________ County _____________
Club name _________________________________________ Leader ______________________________________
Year
Year in
Date record
Date record
in 4-H _________ this project __________ started _____________ , 20 _____ closed ______________ , 20 ______
A record is part of your 4-H project. Keep your record neat, clean, and up-to-date. It’s best to use a 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 ____________________________________
(specify type, purpose, etc.)
Parasite control records and dates
(specify species and veterinary treatment, if any)
Internal ___________________________________
External ___________________________________
Training
Attach a photo
Level of obedience completed:
of you & your
Sub-Novice, Novice, Graduate Novice
dog in this
Open, Open Challenge, Utility
space.
Date
Date
Other (e.g. Brace, Team, Hunting, etc. )
Date
Date
4-H 120R
Reprinted July 2000
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