Cooperative Extension Service
University of California
4-H Youth Dog Care Project

This form should be included in the Project Record Section of the 4-H Achievement Record Book

Dog Project Record

Name _________________________________________________ Age _____

Address _________________________________________________________

Club ______________________________ County ________________________

Name of parent or guardian ___________________________________________

Name of dog project leader ___________________________________________

Number of calendar years in 4-H Club Work including this year ________________

List other projects completed this year ___________________________________

Information About Your Dog

My dog's name is		Sex
Breed	Purebred	Crossbred
Is your dog registered in	American Kennel Club	American Field
Dog's age	Year of Birth	Month/Day
Date of:
Distemper Shots	Rabies Shot	Hepatitis Shot
Date project was started
Date project was completed

I _____ My parents _____ own the dog (check one)

Attach a photo of you and your dog

4-H Project Plan

Project _____________________________ Year:______________________

What I want to do and learn in this project (goals):

How I plan to reach my goal:

Resources I can use (money, supplies, equipment, help from others, etc.):

Signed: _________________________________

4-H Member

Signed:__________________________________

Parent/Guardian

---

Project Plan Evaluation

What I did:

I feel I met my goals (or did not meet my goals) because:

Resources I used (money, supplies, equipment, help from others, etc.):

Other things I would like to do (future goals):

Signed: _________________________________

4-H Member

Signed:__________________________________

Parent/Guardian

Monthly Record

	Month 1	Month 2	Month 3	Month 4	Month 5	Month 6
Food
Brand
Amount
Cost
Hours spent
Training
Grooming
Exercising
Totals

Record of Veterinary and Other Expenses

Date	Cost	Description

Total Record of Income

If you raised puppies for sale, made money caring for other people's dogs, or received prize money, list below.

Amount	Source of Income

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		Sit Up
Heel off leash		Play Catch
Come when called		Carry
Sit		Fetch
Sit and Stay		Roll Over
Lie Down		Jump
Down and Stay		Don't touch it
Other		Other

Did you and your dog attend and graduate from an obedience training class? Describe:
In what way did you exhibit your dog?
Bench Show	Club Tour
Sanctioned match	Inspection
Obedience Trial	Field Trial
County 4-H	Stock Dog Demonstration

Exhibit Record

Name of Show	Date	Class	Number in Class	Placing

Other 4-H Club Activities

List below things which you did in your local club, county, district, or state, in addition to your dog project.

1. Number of meetings your club held _____ Number you attended _____

2. List the titles of the talks, demonstrations, musical numbers and readings you have given before your local club this year.

3. What office did you hold in your local 4-H club or in the county or state?

4. What other activities did you take part in this year?

5. Demonstrations given at Fair or other occasion?

The Story of Your Project

• Write a report of your experiences with your dog.
• You may want to keep a few notes on things when they happen.
• Tell about your dog and how you cared for it.
• Tell of any unusual experiences, difficulties, and pleasures you had in completing your project.