4-h dog project - university of minnesota. id (with photo), ... can be found online and download. ed...

© 2018, 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 612-624-2116. Printed on

recycled and recyclable paper with at least 10 percent

postconsumer waste material.

4-H Dog Project Registration Packet 2018

Welcome to the Washington County 4-H Dog Project 2018! Please submit the following registration packet to the 4-H

Washington County Office. You can also submit it to Heather Cory at the orientation on April 3rd.

For questions call 651-430-6800 or email [email protected].

Washington County








Join the Washington County 4-H Dog Project!

Learn to train your dog in:

Agility

Obedience

Rally

Showmanship

Orientation Night, Tuesday April 3rd at 6:00 p.m. in Hooley Hall

Demo Night, Monday April 9th at 6:00 p.m. in Hooley Hall

Hooley Hall is located at the Washington County Fairgrounds 12300 North 40th Street – Lake Elmo, MN 55042

Obedience, Rally, Showmanship on Tuesday nights 6:00 - 8:00 p.m. starting April

17th and running through to September 18th.

Agility will be every Monday and Thursday nights starting April 23rd and

running through to September 20th.

County show, Obedience, Rally, Showmanship will be Saturday July

28th from 8:00 a.m. to 3:00 p.m.

County Agility show will be Sunday July 30th from 7:00 a.m. to 2:00 p.m.

State Dog Show will be September 22nd and 23rd at the MN State Fair grounds.

Must be enrolled in 4-H, additional fees do apply. Dog program fee is $25.00for early birds (by April 3rd) and $35.00 after April 3rd.

Washington County 4H: http://www3.extension.umn.edu/county/washington/4-h

Questions, please call our office at 651-430-6800.

For more information visit web site: http://washingtoncountydog.org

Washington County 4-H

http://www3.extension.umn.edu/county/washington/4-h

http://washingtoncountydog.org/








4-H Dog Project Forms/ Payments Checklist 2018

The following must be completed by April 3rd before participation in the Dog Project:

1. Active 4-H Member—Enrolled online and paid dues

$45 Check made out to Washington County 4-H

2. Dog ID form completed and signed by veterinarian

If either 1 or 2 is not done, member and dog must be sent home from dog training classes

3. Dog training fee of $35 which includes shirt (***Please note: early bird fee is $25)

Need t-shirt size written on check memo line

4. If dog is in agility, a completed and signed form is required

5. If dog is being leased, a completed and signed form is required

6. ID (with photo), Agility and Lease forms can all be uploaded by family to 4-HOnline

through their family account. If unable to upload than all forms need to be sent to

4-H office

For questions call 651-430-6800 or email [email protected].

Washington County

CHECKLIST FOR 4-H DOG TRAINING

Sign up for Volunteer Spot for shows at Dog Orientation Night

Pay $35 registration fee (early birds $25) – payable to Washington County 4-H – needs

to get to Office or to Heather Cory at Orientation

Complete Dog ID and Vaccination form

Sign up for the Washington County Dog Project listserv

(http://www.washingtoncountydog.org/)

Dog Training Orientation – April 3 at 6 PM

Dog Training Demo Night (optional if you attended Orientation) – April 9 at 6 PM

First Day of Dog Training (Obedience, Rally, Showmanship)– April 17 – Agility

Starts April 23rd

County Dog Show – July 28 (Agility July 29)

State Dog Show at the MN State Fairgrounds – September 22-23rd

March 1, 2018

TO: Minnesota 4-H Animal Science Project Members – Dog

FROM: Heather Cory

RE: IMPORTANT - Animal Identification Process

Thank you for enrolling in a 4-H animal science project. We hope you find this project both challenging

and rewarding. This letter outlines the online animal identification process.

For the fifth year, Minnesota 4-H is using its online enrollment system, 4HOnline, to record all animal

identifications. Online animal identification reduces inaccuracies and inefficiencies that were a part of

our past paper system. More information and a 4HOnline user guide can be found at www.4-

H.umn.edu/animal-ID.

The process that will be followed in 2018 is as follows:

1. 4-H Family completes the “Affidavit and Vaccination Verification” form (enclosed). You will

need a veterinarian’s signature, so plan ahead to have this done prior to beginning training the

last week in April.

2. Existing project animals that are being carried over to this project year must be re-activated by

May 15th. Instructions can be found in the document Animal ID Data Entry by Families, page 5,

at www.4-H.umn.edu/animal-ID.

3. 4-H Family self-enters information for ALL project Dogs into 4HOnline and prints entry

report for personal record. One Dog can be ID'd be multiple family members. In those cases,

the same animal should be entered under EACH member ID'ing that animal. Families should

refer to the Minnesota 4-H Dog Rule Book at www.4-H.umn.edu/Dog for details and limitations.

If an animal is leased, the lease agreement must be scanned and uploaded in 4HOnline or

submitted to the 4-H office. The lease form is (attached in this form) is also available at www.4-

H.umn.edu/animal-ID. Upload photos in a .jpg file in 4HOnline.

NOTE: The final deadline for dogs to be identified is May 15th, forms must be postmarked or

submitted to the County Extension Office by May 15th or brought to the orientation.

Families can complete the ID process (meet all requirements to ID) without having a vaccination form,

but they must have submitted or uploaded a valid vaccination form before the dog can participate

in any 4-H event, including training. It is the 4-H’ers responsibility to update the vaccination form as

soon as it comes due. Like the lease form, if a family doesn't have the ability to scan and upload the

affidavit and vaccination verification form, do the rest of the ID process online, and then submit the

form to the office in hard copy.

http://www.4-h.umn.edu/animal-ID



http://www.extension.umn.edu/youth/mn4-H/projects/animal-science/dog/



© 2016 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 800-876-8636. Printed on recycled and recyclable paper with at least 10 percent postconsumer waste material.

If your family cannot self-enter the ID information: 4-H Family brings in or mails completed ID

worksheet and other required items, including signature(s), to County Extension office, on or before

close of business (4:30pm) May 15th.

ID worksheets can be turned in at Dog Orientation on April 3th or any time prior or after

that at the county office. Please ensure that the worksheet is given only to Heather

Cory so we can ensure proper record keeping. This ID worksheet will be kept on file

in the Extension office.

Within one week, Support Staff or designated volunteer enters info online into your

family’s 4HOnline account. After that, your family may view the information in

4HOnline to check for accuracy. The user guide, Reviewing and Printing Animal ID

Data, is available at www.4-H.umn.edu/animal-ID to walk you through the process.

Mailing address for county Extension office is: Washington County 4-H14949 62nd Street NorthStillwater, MN 55082

NOTE: Hard copy submissions to the county Extension office must be received by close of business

4pm on May 15th, or if mailed, be postmarked NO LATER than May 15th.

Online ID’ing (4HOnline) user assistance and support

A user guide is available at www.4-H.umn.edu/animal-ID.

For assistance with the online ID process, contact your county extension staff at

[email protected] or 651-430-6805.

Dog rules and guidelines books can be found online and downloaded at www.4-H.umn.edu/Dog under

“Important Project Information.” These rule books contain IMPORTANT information about the Dog

project and every family should have a copy of the rule books that apply to their participation

(Obedience, Showmanship, Rally and/or Agility). If you can’t go online, contact your County Extension

Office for a copy.



http://www.4-h.umn.edu/Dog

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

Minnesota 4‐H Dog Project ID ‐ 2018 Affidavit and Vaccination Verification

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

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. Other, please list Follows AAHA recommendations

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. 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 800‐876‐8636. Printed on recycled and recyclable paper with at least 10 percent postconsumer waste material.

Revised February 2013 This form must be completed in full. County________________________

4‐H Dog Agility Release Form I/we agree to hold the organizing committee, the organization (Minnesota 4‐H, the University of Minnesota Extension Service, and the sponsoring local 4‐H group), including its members, officers, directors, and volunteers or employees, the owners of the premises upon which this event is held, and the owners of any equipment used harmless from any claim of loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by act of this dog while in or upon the event premises or grounds or near any entrances hereto, and I/we will personally assume all responsibility and liability for any such claim. I/we further agree to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death, or otherwise, and from claim for damage or injury to the dog, whether such loss, disappearance, theft, damage or injury be caused or alleged to be caused by the negligence of the parties aforementioned, or by the negligence of any other person or any other cause or causes. I/we agree to assume the sole responsibility for and agree to indemnify and save the aforementioned parties harmless from any and all loss and expenses (including legal fees) by reason of the liability imposed by law. I/we agree to abide by the rules as stated in the Minnesota 4‐H Dog Show Guide and the Minnesota 4‐H Dog Agility Rules & Guidelines. 4‐H Member’s Signature:__________________________________________________________________ 4‐H Member’s Name (please print):__________________________________________________________ 4‐H Parent’s Signature: ___________________________________________________________________ 1st Dog’s Call Name: ______________________ Breed: _____________________________ Age: ______ 2nd Dog’s Call Name: ______________________ Breed: _____________________________ Age:_______ Number of Agility Classes Attended This 4‐H Year: ____________ (You must attend a minimum of 6 to attend the State 4‐H Dog Show.) Where Was Training Received This Year (must check one or both): ____4‐H Sponsored Agility Training – County___________________________ Name of Trainer__________________________

____Non‐4‐H Sponsored Training – Name of the Facility__________________ Name of Trainer__________________________ Please Indicate Below the Equipment Your Dog Has Been Trained on:

____A‐Frame ____Tire Jump ____See Saw ____Pause Table ____Long Jump ____Pipe Tunnel ____Dog Walk ____Collapsed Tunnel ____Jumps ____Weave Poles ____Other (please list):__________________

© 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.

2018 Minnesota 4-H Animal Science Lease Form To be used with Breeding Beef, Cow/Calf pairs, Prospect Calves, Breeding Sheep, Breeding Swine, Meat Breeding Does, Dairy and Dairy Goat, Dog, Horse, Breeding Poultry, Lama and Breeding Rabbit Projects NOTE: MARKET ANIMALS CANNOT BE LEASED

County: __________________________________________________

4-H Family Name: __________________________________________

4-H Members within Family: __________________________________

Club: _____________________________________________________

The 4-H Lessee Agrees to:

Assume agreed upon care (ex: where will animal be housed?, expectations as to time spent working with leased project, etc.). Please describe.

Assume agreed upon finances (ex: feed cost, veterinarian, transportation, exhibiting expense, etc.). Please describe.

Refrain from allowing any other individual (including the owner) to enter/exhibit the animal in any show/exhibition during the time this contract is in effect. (This includes junior shows, open shows, jackpot shows, etc.) Violation of this rule will void the lease contract and make the animal ineligible for full-privilege exhibition in 4-H county or state shows. Exceptions: Horse-see

rulebook, Dog-see obedience rulebook regarding brace, Lama-see species information sheet.

The lessee will keep any premiums or awards earned while exhibiting the animal during the duration of this contract.

Breed the animal at the direction and the expense of the owner. The resulting offspring shall be the property of the owner who shall take possession of the animal at the weaning or end of contract.

I have reviewed the Information Sheet (Rulebooks for dog & horse) for this species and will abide by all project rules and guidelines.

Please provide ALL information for leased animal. If multiple animals with same owner & agreement, check box. Add animals to sheet on second page.

I, ____________________________________________ of ______________________________________________________ (Name of animal owner) (Street Address) _______________________________________________________ ___________________ ________________________ (City or Town) (State) (Zip Code) have allowed this 4-H family to use the above listed animal described as a 4-H project for the year. This family will have an active role in the care and management of the animal for the duration of the lease.

Owner’s Signature _____________________________________________ Date ____________________________________

Member’s Signature ____________________________________________ Date ____________________________________

* Some animals may be a lease project in subsequent years (breeding beef, cow/calf pairs, dairy, dog, dairy goats, horse, lama, breeding poultry, breeding rabbit and breeding sheep).

Animal’s Name Species & Breed Animal Birthdate month/day/year

Official Ear Tag or Tattoo (NA for

Horse, Lama & Dog)

Registration Number (If Registered) (NA for Horse, Lama & Dog)

This form must be submitted and/or uploaded by May 15, as part of the full animal ID process, as outlined in the information sheet for this species.

Renewed Lease Agreement: ___________ ______ ______ Date and Year Member Owner Initial Initial ___________ ______ ______ Date and Year Member Owner Initial Initial ___________ ______ ______ Date and Year Member Owner Initial Initial

The term of this contract shall be from May 15, 2018 to the day of the county 4-H show and will continue until the State

Fair/State Horse 4-H show if the lessee chooses this project for a State trip. This contract may be terminated at any time by

mutual agreement in writing, or by at least ________ month(s) written notice from either party. Note: Dairy animals leases

will start earlier to meet the “prior to freshening rule”, if the animal meets criteria for rule.

Please provide ALL information for leased animal. Use this page if multiple animals with same owner & agreement.

Animal’s Name Species & Breed

Animal Birthdate

month/day/year

Official Ear Tag or Tattoo (NA

for Horse, Lama & Dog)

Registration Number

(If Registered) (NA for Horse, Lama &

Dog)

4-h dog project - university of minnesota. id (with photo), ... can be found online and download. ed...

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