Dane County 4-H Obedience & Showmanship Check In Form 2024
Please fill out one form per 4-H Member.
Why do I need to fill out this form?
Thank you for your interest in the Dane County 4-H Dog Project Obedience & Showmanship Program. The information gathered here will be used to place you in classes and communication over the next 6 months.
How old do I have to be to complete this form?
If you are younger than 13, a parent or guardian should complete this online submission form. If the youth is 13-17 years old they should have a parent or guardian approval before competing this form. Having help from a parent is a great idea!!!
Contact Dane County 4-H Dog Project if you need help
danecounty4hdog@gmail.com
Cost
Obedience/Showmanship: $15 per dog
Handler/4-H Member Name
*
First Name
Last Name
Grade as of January 1
*
Please Select an Option
Please Select an Option
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
13th Grade
Years in the Dane County 4-H Dog Project, not including this year
*
4-H Club Name/Other Organization Name
*
Contact Information
1st Contact Name (first, last)
*
1st Contact Phone Number
*
Please enter a valid phone number.
1st Contact Email address
*
example@example.com
1st Contact Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
2nd Contact Name (first, last)
*
2nd Contact Phone Number
*
Please enter a valid phone number.
2nd Contact Email
*
example@example.com
2nd Contact Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
1st Emergency Contact Name (first, last)
*
1st Emergency Contact Phone Number
*
Please enter a valid phone number.
1st Emergency Relation to 4-H Member
*
2nd Emergency Contact Name (first, last)
2nd Emergency Contact Phone Number
Please enter a valid phone number.
2nd Emergency Relation to 4-H Member
Please Read!
Please let us know of any allergies or other health/learning concerns we may need to know to support your 4-H member.
Please complete or say N/A
2023 Dane County 4-H Dog Training Rules and Guidelines Agreement
I have read the 2023 Dane County 4-H Dog Training Rules and Guidelines and agree to follow the rules and guidelines set forth by the Dane County 4-H Dog Project and 4-H.
Youth/4-H Member Signature
*
Parent Signature (if youth/4-H Member is under 18 years of age)
Behavior Management Agreement
The Dane County Dog Project may implement a behavior management plan for handlers and/or their dogs that are displaying inappropriate or concerning behaviors. This plan is to insure the safety of all handlers, their dogs, trainers, and committee members. A color code system is used to better help our committee members offer consistent, clear communication to our 4-H members when a problem arises. How this system works; if a member or dog exhibits a concerning behavior, a colored card will be documented in their folder. If a handler/dog continues to demonstrate concerning behaviors after receiving a colored card then this could be considered grounds for dismissal from the 4-H Dog Project. Committee members reserve the right to dismiss any dog at any time during training.
Youth/4-H Member Signature
*
Parent Signature (if youth/4-H Member is under 18 years of age)
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