© 2012, Regents of the University of Minnesota. University of

Minnesota Extension is an equal opportunity educator and

employer. In accordance with the Americans with Disabilities

Act, this publication/material is available in alternative formats

upon request. Direct requests to the Extension Store at 800-

876-8636.

2019 4-H Dog Training Registration Form

Obedience, Rally Obedience & Showmanship What is the 4-H Dog Training Program? Goodhue County 4-H Dog Training is a dog obedience, showmanship, and rally obedience program in the spring/summer for youth and their dogs! The training is taught by 4-H Adult Volunteers who have expertise with dog training. Through 4-H Dog Training, participants will learn basic dog obedience skills and will get to teach their own dog’s first-hand! Participants will learn to communicate with their dogs, respect each other and work together as a team, and will learn responsible dog ownership. Training will also cover care of dogs, feeding, dog facts, dos and don’ts, and much more! Best of all, participants will learn how to develop a positive relationship with their own dogs! At the end of the summer, participants will demonstrate what they’ve learned at the 4-H County Dog Show while being evaluated by a judge.

WHO: Youth in Grades K-13, non 4-Hers are welcome! Cloverbuds (grades K-2) must have a responsible person in control of leading the dog at all times.

WHAT: 4-H Dog Training – Showmanship, Obedience & Rally Obedience Training

WHEN: MAY 8TH ORIENTATION FOR NEW YOUTH, PARENTS NEED TO ATTEND (NO DOGS this night); 6:30 pm Goodhue County Fair Grounds. Training start for everyone May 15 -July 26 at 6:30 p.m. (No Class July 17th) Obedience, Rally Obedience & Showmanship

WHERE: Wednesdays 6:30 pm - Goodhue County Fairgrounds, Zumbrota, MN

COST: $20/participant (regardless of the # of dogs they are training); payable to Goodhue County 4-H

REGISTER: Please register by Monday, May 6. Registration will not be considered complete until payment has been received

in the Extension Office. The flyer is also available online at https://local.extension.umn.edu/local/goodhue

2019 Important Dates:

May 6: Deadline - Dog Registrations Forms due to the Extension Office

May 8: Orientation Goodhue County Fair Grounds outside

May 15: Obedience, Rally Obedience and Showmanship training begins and continues every Wednesday at Goodhue County

Fairgrounds

July 26: Goodhue & Wabasha County 4-H Dog Agility Show at Best for Pets in Zumbro Falls at 5:30 pm July 27: Goodhue & Wabasha County 4-H Dog Showmanship, Obedience, and Rally Obedience Show at Goodhue County

Fairgrounds at 8:00 a.m. (plan for all day)

August 8: Dog Demonstrations at the Goodhue County Fair - Rally, Obedience and Showmanship Demos, 6:00 p.m. Sept: State 4-H Dog Show, State 4-H Building, State Fairgrounds, St. Paul

GOODHUE COUNTY

© 2012, Regents of the University of Minnesota. University of

Minnesota Extension is an equal opportunity educator and

employer. In accordance with the Americans with Disabilities

Act, this publication/material is available in alternative formats

upon request. Direct requests to the Extension Store at 800-

876-8636.

Goodhue County 4-H Dog Training Registration Form

(Obedience, Rally Obedience & Showmanship)

Please register by Monday, May 6th. Send registration form (one per youth) and payment to Goodhue County 4-H; University of Minnesota Extension; 509 W 5th Street; Gov’t Ctr Rm 102; Red Wing MN 55066

Name: __________________________________________________________________Grade: ___________________

Mailing Address: _________________________________________________________________________________

City/State/Zip: ___________________________________________________________________________________

Phone #’s________________________________________________________________________________________

Email:____________________________________________________________________________________________

Dog’s Name: _________________________ Dog’s Breed: ____________________ Dog’s Age: ___________

Dog’s Name: _________________________ Dog’s Breed: ____________________ Dog’s Age: ___________

Dog’s Name: _________________________ Dog’s Breed: ____________________ Dog’s Age: ___________

I would like to participate in: ___ Showmanship ___Obedience ___Rally Obedience ___Agility If you know in what level of training you are, please specify below. If you have multiple dogs, put an “x” for each level in which you have shown for each dog. If you are unsure, leave the bottom portion blank.

Showmanship

____ Senior Open

____ Junior Open

____ Senior Novice

____ Junior Novice

Rally Obedience

____ Veteran

____ Excellent

____ Advanced

____ Pre-Advanced

____ Novice

____ Foundation

____ Pre-Novice

Obedience

____ Veteran

____ Utility

____ Pre-Utility

____ Graduate Open

____ Open

____ Pre-Open

____ Graduate Novice

____ Novice

____ Graduate Beginner

____ Beginner

____ Foundation

Agility

____ Advanced

____ Senior

____ Intermediate

____ Elementary

____ Beginner

____ Jumper 3

____ Jumper 2

____ Jumper 1

I:\4-H\Dog\2018-2019\Dog Training Registration Form

Goodhue County

© 2012, Regents of the University of Minnesota. University of

Minnesota Extension is an equal opportunity educator and

employer. In accordance with the Americans with Disabilities

Act, this publication/material is available in alternative formats

upon request. Direct requests to the Extension Store at 800-

876-8636.

2019 4-H Dog Agility Registration Form

What is the 4-H Dog Training Program? Goodhue County 4-H Dog Training is a dog obedience, showmanship, and rally obedience program in the spring/summer for youth and their dogs! The training is taught by 4-H Adult Volunteers who have expertise with dog training. Through 4-H Dog Training, participants will learn basic dog obedience skills and will get to teach their own dog’s first-hand! Participants will learn to communicate with their dogs, respect each other and work together as a team, and will learn responsible dog ownership. Training will also cover care of dogs, feeding, dog facts, dos and don’ts, and much more! Best of all, participants will learn how to develop a positive relationship with their own dogs! At the end of the summer, participants will demonstrate what they’ve learned at the 4-H County Dog Show while being evaluated by a judge.

WHO: Youth in Grades K-13, non 4-Hers are welcome!

WHAT: 4-H Dog Agility Training with Natalie Faas

WHEN: Mondays, beginning May 13-July 22 (No Class May 27, June 10 & July 8)

TIME: 1st year youth will meet at 5:30 pm 2nd year and above youth will meet at 6:30 pm

WHERE: Best for Pets in Zumbro Falls, (418 Water Street) COST: $20/participant (regardless of the # of dogs they are training); payable to Goodhue County 4-H

REGISTER: Please register by Monday, May 6. Registration will not be considered complete until payment has been received in the Extension Office.

2019 Important Dates:

May 6: Deadline - Dog Agility Registrations Forms due to the Extension Office

May 13: Dog Agility Begins at Best for Pets in Zumbro Falls, MN July 26: Goodhue & Wabasha County 4-H Dog Agility Show at Best for Pets in Zumbro Falls at 5:30 pm July 27: Goodhue & Wabasha County 4-H Dog Showmanship, Obedience, and Rally Obedience Show at Goodhue County Fairgrounds at 8:00 a.m. (plan for all day) August 8: Dog Demonstrations at the Goodhue County Fair - Rally Obedience, Agility, Showmanship & Obedience, 6:00 pm

Sept 21 & 22: State 4-H Dog Show, State 4-H Building, State Fairgrounds, St. Paul

GOODHUE COUNTY

© 2012, Regents of the University of Minnesota. University of

Minnesota Extension is an equal opportunity educator and

employer. In accordance with the Americans with Disabilities

Act, this publication/material is available in alternative formats

upon request. Direct requests to the Extension Store at 800-

876-8636.

Goodhue County 4-H Dog Agility Registration Form

Register by Monday, May 6th. Send registration form (one per youth) and payment to Goodhue County 4-H; University of Minnesota Extension; 509 W 5th Street; Gov’t Ctr Rm 102; Red Wing MN 55066 or

email to hartmann@umn.edu

Name: ________________________________________________________Grade: ___________________

Mailing Address: _________________________________________________________________________

City/State/Zip: ___________________________________________________________________________

Phone #’s_______________________________________________________________________________

Email:__________________________________________________________________________________

Dog’s Name: _________________________ Dog’s Breed: ____________________ Dog’s Age: ___________

Dog’s Name: _________________________ Dog’s Breed: ____________________ Dog’s Age: ___________

Dog’s Name: _________________________ Dog’s Breed: ____________________ Dog’s Age: ___________ I would like to participate in: ___Agility ___Obedience ___Rally ___Showmanship

Goodhue County

© 2018 Regents of the University of Minnesota. All rights reserved. University of Minnesota Extension is an equal opportunity educator and employer. In accordance with the Americans with

Disabilities Act, this material is available in alternative formats upon request. Direct requests to the Extension Store at 612-624-2116. Printed on recycled and recyclable paper with at least 10

percent post consumer waste material.

1

Dog Identification

County____________________ Club: ________________________ 4-Her Name ____________________________________________ Dog’s Call Name_________________________________________ Dog’s Birth Date __________________Age____________________ Mo./Day/Yr.

Predominant Breed _______________________________________ Color & Markings_________________________________________ Sex: ▢ Male ▢ Neutered Male ▢ Female ▢ Spayed Female

MN 4-H Dog Project ID - 2019 Affidavit and Vaccination Verification

(This form must be uploaded to 4HOnline or submitted to your local Extension office on or before May 15)

Vaccination Certificate

Exhibitors: Take this form to your veterinarian. This Vaccination Certificate must be completed and signed by a licensed, accredited veterinarian. All dogs MUST have current rabies vaccinations. Your veterinarian must document on this form whether your dog’s Rabies vaccination is current for 1 year, 2 years, or 3 years by filling in the “Date Expires” blank. Additionally, a current Distemper, Hepatitis, Leptospirosis, Parainfluenza, and Parvovirus (DHLPP) is required for 4-H dogs, unless otherwise noted, either by titer or dog is unfit for vaccination, below by veterinarian. In case of vaccination being waived by a veterinarian or a titer, proof must be included with this form. Rabies: Date Given _______________________Date Expires ___________________ Product _________________________ Serial #_______________________ DHLPP: Date Given_______________________Date Expires ___________________ Product__________________________Serial # _______________________ With the exception of Rabies, specific vaccination requirements may be waived if the veterinarian initials the applicable box below. ▢ Does not give Leptospirosis vac. ▢ Titer, form attached ▢ Follows AAHA recommendations ▢ Unfit for Vaccination, reason below ▢ Other, please list

Clinic Information Clinic Name _______________________________________________ Mailing Address_____________________________________________ City_________________________________State________Zip_______

Administering Veterinarian’s Name ______________________________

Veterinarian’s Signature ______________________________________ Date_________________Clinic Phone __________________________

PHOTO OF DOG ONLY

© 2012, Regents of the University of Minnesota. University of

Minnesota Extension is an equal opportunity educator and

employer. In accordance with the Americans with Disabilities

Act, this publication/material is available in alternative formats

upon request. Direct requests to the Extension Store at 800-

876-8636.

2019 4-H Dog Agility Registration Form

What is the 4-H Dog Training Program? Goodhue County 4-H Dog Training is a dog obedience, showmanship, and rally obedience program in the spring/summer for youth and their dogs! The training is taught by 4-H Adult Volunteers who have expertise with dog training. Through 4-H Dog Training, participants will learn basic dog obedience skills and will get to teach their own dog’s first-hand! Participants will learn to communicate with their dogs, respect each other and work together as a team, and will learn responsible dog ownership. Training will also cover care of dogs, feeding, dog facts, dos and don’ts, and much more! Best of all, participants will learn how to develop a positive relationship with their own dogs! At the end of the summer, participants will demonstrate what they’ve learned at the 4-H County Dog Show while being evaluated by a judge.

WHO: Youth in Grades K-13, non 4-Hers are welcome!

WHAT: 4-H Dog Agility Training with Natalie Faas

WHEN: Mondays, beginning May 13-July 22 (No Class May 27, June 10 & July 8)

TIME: 1st year youth will meet at 5:30 pm 2nd year and above youth will meet at 6:30 pm

WHERE: Best for Pets in Zumbro Falls, (418 Water Street) COST: $20/participant (regardless of the # of dogs they are training); payable to Goodhue County 4-H

REGISTER: Please register by Monday, May 6. Registration will not be considered complete until payment has been received in the Extension Office.

2019 Important Dates:

May 6: Deadline - Dog Agility Registrations Forms due to the Extension Office

May 13: Dog Agility Begins at Best for Pets in Zumbro Falls, MN July 26: Goodhue & Wabasha County 4-H Dog Agility Show at Best for Pets in Zumbro Falls at 5:30 pm July 27: Goodhue & Wabasha County 4-H Dog Showmanship, Obedience, and Rally Obedience Show at Goodhue County Fairgrounds at 8:00 a.m. (plan for all day) August 8: Dog Demonstrations at the Goodhue County Fair - Rally Obedience, Agility, Showmanship & Obedience, 6:00 pm

Sept 21 & 22: State 4-H Dog Show, State 4-H Building, State Fairgrounds, St. Paul

GOODHUE COUNTY

© 2012, Regents of the University of Minnesota. University of

Minnesota Extension is an equal opportunity educator and

employer. In accordance with the Americans with Disabilities

Act, this publication/material is available in alternative formats

upon request. Direct requests to the Extension Store at 800-

876-8636.

Goodhue County 4-H Dog Agility Registration Form

Register by Monday, May 6th. Send registration form (one per youth) and payment to Goodhue County 4-H; University of Minnesota Extension; 509 W 5th Street; Gov’t Ctr Rm 102; Red Wing MN 55066 or

email to hartmann@umn.edu

Name: ________________________________________________________Grade: ___________________

Mailing Address: _________________________________________________________________________

City/State/Zip: ___________________________________________________________________________

Phone #’s_______________________________________________________________________________

Email:__________________________________________________________________________________

Dog’s Name: _________________________ Dog’s Breed: ____________________ Dog’s Age: ___________

Dog’s Name: _________________________ Dog’s Breed: ____________________ Dog’s Age: ___________

Dog’s Name: _________________________ Dog’s Breed: ____________________ Dog’s Age: ___________ I would like to participate in: ___Agility ___Obedience ___Rally ___Showmanship

Goodhue County