Horse & Pony Record Sheet
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1 1 Horse & Pony Record Sheet Division (check one): Junior Intermediate Senior Name Grade in School Address (Street/Rural Route) (City) (State) (Zip) County Club Township Years in 4-H Years in Horse & Pony Number of Horses (Including this year) (Including this year) (This record is for how many horses?) ****************************************************************************************** INSTRUCTIONS: Record sheet should be for January 1-June 30 of the current calendar year. Activities and expenses for the previous year should not be included. One record sheet will be submitted PER 4-H MEMBER. All horses that have been registered by that 4-H member should be included on this one record sheet. All information should be complete and accurate. Use complete sentences when answering questions if appropriate. If an area is to be left blank, provide an explanation. ****************************************************************************************** I have completed this record to the best of my knowledge. Date Signature of 4-H Member I have reviewed this record and believe it to be correct. Date Signature of 4-H Parent I have reviewed this record and believe it to be correct. Date Signature of 4-H Horse & Pony Leader ****************************************************************************************** SCORE SYSTEM (Office Use Only): Possible Points Per Category Neatness- 1 to 10 (1 low, 10 high) Neatness- /10 Completion- 1 to 10 (1 low, 10 high) Completion- /10 Accuracy- 1 to 10 (1 low, 10 high) Accuracy- /10 Signatures- 0 or 10 Signatures- /10 Total Possible Score- 40 Total- /40 o Honor Group- Score of Honor Group? Circle one: Yes No
2 2 THIS RECORD IS FOR: Add additional pages for each horse as needed. Pedigree, if known: (Sire) Horse s Name (Registered name, if applicable) (Dam) (Paternal Grand Sire) (Paternal Grand Dam) (Maternal Grand Sire) (Maternal Grand Dam) Breed or Type Color Height Age Sex (In hands) (In years) (M, G, S) Please draw a picture of each of your horse s markings. Description of Markings:
3 Activity Log: Log of Riding Activities (include one sheet for each horse in your record, as you did with the pedigree page)- Please include general riding time, educational workshops or clinics and the amount of time spent and what was learned. Comments could include what you might consider doing differently with each horse. Please do not list Riding- 1 hour for every line. If that is your only activity, consider compiling your total hours weekly. 3 Date Ex: May 11 Activity Example: Horse Course Time Spent Ex: 6 hrs. Horse s Name Key Learning Comments Ex: Learned in-hand pivots & how to release pressure in WP
4 4 Item A: Horse and Pony Health Record Horse s Name Treatment Ex: Tetanus Toxoid Date Ex: May 11 Product Used Who Administered Instructions or follow up Cost TOTAL HEALTH COSTS FOR ALL HORSES $ Item B: Feed/Concentrate Record (for all horses in record) NOTE: if these expenses are included in a monthly boarding fee, you need to obtain cost of these items from proprietor or estimate based on avg. cost at feed store. Type of Item Purchased Date Amount/Quantity Purchased (bags/pounds, not cost) Cost Per Pound Total Cost Total Pounds: (Avg. bag of pre-mixed grain is 40 or 50 pounds) Total Feed Costs $
5 Item C: Hay Record (for all horses in record) NOTE: if these expenses are included in a monthly boarding fee, you need to obtain cost of these items from proprietor or estimate based on avg. cost at feed store. 5 Type of Hay/Forage/Roughage Purchased Date Amount/Quantity Purchased (bales or pounds, not cost) Cost Per Pound Total Cost Total Pounds: Total Hay Costs $ (Avg. square bale weighs 60 pounds; Avg. round bale weighs 1,000 pounds) Item D: Other Expenses (Bedding, Farrier, Veterinary, Tack or Equipment, Lessons, Board, Entry Fees for Shows, Etc.) NOTE: if these expenses are included in a monthly boarding fee, you need to obtain cost or an estimate. Expense Date Amount Which Horse TOTAL COST $
6 Item E: Total Care Costs (for all horses in record) NOTE: Do not just list included in board, as you need to estimate each category such that the total cost per month equals board plus other expenses. 6 Month Health Costs (from Item A) Total Feed Costs (from Item B) Total Hay Costs (from Item C) Total Pasture Expense (average is $0.20 per day/horse) Other Expenses (from Item D) Total Cost Per Month (for all horses) January February March April May June TOTAL For 6 months for all horses $ Divide Shaded total by # of Horses in record Total Cost/Horse $ Divide Total Cost/Horse by 6 (for 6 months of records; Jan.-July) Total Monthly Cost/Horse $ Summary Questions (additional pages may be added if necessary): 1. What is the average monthly cost for each horse in your project? (from Item E?) $ 2. What is the annual cost of maintaining your horse project (Summary Question #1 x 12)? $ 3. Write a paragraph describing your personal responsibilities in the care of your project horses.
7 7 4. Write a paragraph explaining your personal goal(s) for the year, what you did to meet that goal and if you felt you achieved it. What do you plan to do differently next year? 5. List at least three specific skills that you learned from your equine experiences this year. 6. For Senior members only- Compared to your Junior/Intermediate level activities, explain how your involvement, activities and abilities with your project have changed. Include what you have learned, changed or done differently as a Senior member compared to a Junior/Intermediate member.
8 8 7. For Senior members only- If you have multiple horses listed on this record, explain how and why their dietary needs may be different, including types of feed, amounts, water intake, etc. 8. For Senior members only- What other horse related activities have you been involved in during your 4-H career (i.e. Color Guard, Judging, Horse Bowl, Hippology, etc.)? What have you learned from these activities?
BIRTHDAY: AGE: YEAR IN 4-H:
NAME: Club: ADDRESS: GRADE IN SCHOOL: BIRTHDAY: AGE: YEAR IN 4-H: PRIM. JUN. INTER. SEN. CODE# PROJECT NAME: Yes / No YEARS IN PROJECT GBHG Horseless Horse Yes / No # GBHA Beginning Horse Yes / No # GBHH
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