BIRTHDAY: AGE: YEAR IN 4-H:



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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 Horsemanship, Management & Care Yes / No #

TO THE 4-H MEMBER 1. Your 4-H record book is a way of showing what you have done and learned through 4-H by showing what you have achieved and how you have grown. 2. The record book is your personal work. It should be kept current as the year progresses. The handwriting and/or typing should be your own. Neatness is important. 3. Dividers for goals and summary, project record sheets, and general activities can make your book more organized. 4. Please feel free to create and use additional record sheets in your record book if needed. 5. You may want to keep a separate scrapbook of items not used in the record book. REQUIREMENTS 1. Cover page: Should have member s name and age, 4-H group, age group, years in 4-H project, grade in school. 2. Table of Contents. Identify all pages and were to find them. 3. Planning Calendar: Include the 4-H events involved in throughout the year such as meetings, camps, and other 4-H and project related activities. 4. Project goals: List 4-5 specific goals to work on for the year. Be specific when stating the goal. The advancement checklist may be helpful for goal ideas. 5. Project summaries: Include information about how each goal was attained or why it was not attained and what was learned during the process. Project record sheets 6. Animal health and care records: One record for each animal in the members project. 7. Financial records: This should be all costs for care of members animal, reflects showing, activity and care records in a monthly format with a yearly total. Income is to be recorded as well. 8. Inventory: This should be an inventory of all items pertaining to the animal project. Add to your list as the year progresses so the list stays current. 9. Show Record: Project competitive events with members project animal, record placing and comments. 10. Project educational activities: These would be activities pertaining to the project such as camps and clinics. General Activities and Events: 1. Community Service: Activities participated in that benefit others, not the 4-H club or member. 2. 4-H Promotion in the Community: Include any activity done individually or as a group where 4-H is promoted in the community. I.e. Promoting 4-H at school or other non 4-H activity. 3. Leadership: Include offices held in 4-H, school or other groups, organizing a project for club or group, being a counselor. 4. Presentations: Public Speaking, title of presentation/demonstration, where given, recognition & comments 5. Project related contests: 4-H educational contests such as impromptus, groom squad, hippology, horse judging, horsebowl, etc 6. Other Activities and Events: Also include other 4-H events attended such as Fairs, Parades, Super Saturday and school events such as sports and music programs. 4-H story: This should include your age, grade in school and what school attended, when and why you joined 4-H and how 4-H participation has influenced your life. Write it like a story. Signature Page: Includes required signatures.

Table of contents. Cover page Table of contents Identifies all pages and how to locate Signature page (back page) Includes statement We have reviewed this record book... Signed and dated by member, parent/guardian, leader Planning Calendar Months should have entries that reflect activities participated in. Project goals Goals are specific, shows progressive involvement, finances and parental support completed Leader and parent signature Project Summaries. Statement included for each goal, include statements for both how goal was achieved AND what was learned Project Record Sheets Individual Horse Record (C0856) and Horse Management Record (C0857) or Horse certificate and animal health care records, vaccinations, hoof care for each animal Riding/training hours Financial records Includes purchased items and reflects most showing, activity, feed and care expenses and income. Inventory Includes clearly described animals, tack, grooming supplies, training equipment, etc. with values of each item and total of all inventory. Show records Includes dates, name of shows, specific events, placings, and comments for all classes. Project educational activities Includes date of activity and location/sponsor and describes specifically what was learned General Activities and Events Includes date of activity and location/sponsor and describes specifically what was learned Community Service Participated in both 4-H and other community service, explains what was done, where/who benefitted and shows concern for others by describing how activities benefited others 4-H Promotion Explain how involvement in activity promoted 4-H in the community. Leadership Participated in both 4-H and other leadership activities, explains what was where/who Presentations (Public speaking)- Demonstration Title of 4-H presentation/demonstration, where given, recognition/comments all included. Project Contests Contest listed with comments/recognition described. Activities and Events 4-H activity or event described. 4-H Story Introduction, when and why you joined 4-H, lists ways 4-H has influenced life, written as story.

MY 4-H PLANNING CALENDAR Date List activity, meeting, clinic, etc. Type an X after each event you attend. December November October

March February January

June May April

September August July

GOALS AND PLANS FOR YEAR TELL WHAT YOU PLAN TO DO OR LEARN THIS YEAR. Your goals can be about improving your own riding and horse s training as well as about what you want to do this year and learn. You need 3-5 goals in your record book. Don t forget to have your parent and leader sign your goals page. What I want to learn/improve on/ or accomplish How I will work towards this goal (Be specific) WHAT WILL MY PARENTS DO TO PROVIDE SUPPORT AND WHAT WILL I DO IN RETURN TO HELP THEM. Leader s signature: Date Parent s signature: Date

PROJECT GOALS SUMMARIES Goal #1: Was goal achieved? How goal was attained or why not attained: Describe the steps you took towards reaching your goal in a detailed outline or paragraph. What was learned: Describe specifically what you learned (skills, methods, practices, and/or general knowledge) as you worked towards your goal in a detailed outline or paragraph.

Goal #2: Was goal achieved? How goal was attained or why not attained: Describe the steps you took towards reaching your goal in a detailed outline or paragraph. What was learned: Describe specifically what you learned (skills, methods, practices, and/or general knowledge) as you worked towards your goal in a detailed outline or paragraph.

Goal #3: Was goal achieved? How goal was attained or why not attained: Describe the steps you took towards reaching your goal in a detailed outline or paragraph. What was learned: Describe specifically what you learned (skills, methods, practices, and/or general knowledge) as you worked towards your goal in a detailed outline or paragraph.

Goal #4: Was goal achieved? How goal was attained or why not attained: Describe the steps you took towards reaching your goal in a detailed outline or paragraph. What was learned: Describe specifically what you learned (skills, methods, practices, and/or general knowledge) as you worked towards your goal in a detailed outline or paragraph.

Goal #5: Was goal achieved? How goal was attained or why not attained: Describe the steps you took towards reaching your goal in a detailed outline or paragraph. What was learned: Describe specifically what you learned (skills, methods, practices, and/or general knowledge) as you worked towards your goal in a detailed outline or paragraph.

INDIVIDUAL HORSE RECORD Add this sheet to your regular 4-H Record Book. Keep all your records in one book. C0856 Complete one record for each project animal per year. Name of Horse: Date Born: Age: Breed: Reg. No (if any): Identification: Height Weight Sex: Color: Markings: Draw in any identifying markings. Disposal Date: Reason or Sold To: HEALTH RECORD: Record all medicinal care administered by you or your veterinarian (immunizations, dewormings, drugs, surgery, breeding record, etc.). Record expenses in 0857. Date Type and amount Date Type and amount Tetanus Influenza Encephalomyelitis Distemper

HOOF CARE RECORD: Record shoeings, trimmings, and any additional hoof care received. Record expenses in C0857. Date Type and amount Date Type and amount RIDING/TRAINING RECORD Month Riding Hours Comments Training Hours Comments (example) 5 Club Trail Ride 12 Setup, right lead Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July Aug. Sept. TOTAL Issued by Washington State University Cooperative Extension and the U.S. Department of Agriculture in furtherance of the acts of May 8 and June 30, 1914. Cooperative Extension programs and policies are consistent with federal and state law and regulations on nondiscrimination regarding race, color, gender, national origin, religion, age, disability, and sexual orientation. Evidence of noncompliance may be reported through your local Cooperative Extension office. Slightly revised April 1994 Subject Code 812. X Adapted for online use March 2002 C0856

HORSE MANAGEMENT RECORD Add this sheet to your regular 4-H Record Book. Keep all your records in one book. C0857 Complete one record per member per year. Year in 4-H Horse Program Horse projects enrolled in: project Year in EQUIPMENT INVENTORY: Include major tack items you may put similar items on one line (example, grooming tools). If item is lost, stolen, or sold, draw a line through it. Date Acquired (Approx.) Item Description (I.D.#, color, size) Value

CONTEST RECORD: Include horse judging, horse bowl, herdsmanship, groom squad contest, etc. (where you participate without your horse). Date Contest Placing Comments EXPENSE RECORD: Record all expenses relating to your horse project (hay, grain, salt, vitamins, bedding, barn and pasture maintenance, entry fees, equipment, etc.). Include amounts (one ton alfalfa hay; three 80# sacks rolled oats, etc.). You may record either the amount it costs you to feed your horse per month OR the amount purchased per month. If you board your horse, enter the monthly bill. If you receive something in exchange for work or as a gift, put 0 in cost column and write a short explanation. October Cost November Cost Total Monthly Cost Total Monthly Cost December Cost January Cost Total Monthly Cost Total Monthly Cost

February Cost March Cost Total Monthly Cost Total Monthly Cost April Cost May Cost Total Monthly Cost Total Monthly Cost June Cost July Cost Total Monthly Cost Total Monthly Cost August Cost September Cost Total Monthly Cost Total Monthly Cost TOTAL ANNUAL EXPENSE

CLINIC RECORD: Include clinics, seminars, workshops you attended with or without your project animal. Date Event Comments SHOW AND EXHIBITION RECORD (4-H and Open) Date Place or Show Event Placing Name of Horse Comments Issued by Washington State University Cooperative Extension and the U.S. Department of Agriculture in furtherance of the acts of May 8 and June 30, 1914. Cooperative Extension programs and policies are consistent with federal and state law and regulations on nondiscrimination regarding race, color, gender, national origin, religion, age, disability, and sexual orientation. Evidence of noncompliance may be reported through your local Cooperative Extension office. Reprinted January 1990. Adapted for online use March 2002 C0857

YEARLY INVENTORY LIST ALL ITEMS YOU POSSESS RELATED TO THIS PROJECT: Include animals, tack, grooming supplies, training equipment, etc. Add to your list as the year progresses so that it stays current. Description Value Total Value $

SHOW AND EXHIBITION RECORD Gaming Showmanship Date Place or Show Ribbon/ Placing Comments Barrels Date Place or Show Time Placing Comments Pole Bending Date Place or Show Time Placing Comments Figure 8 Date Place or Show Time Placing Comments Pole Key Date Place or Show Time Placing Comments Flags Date Place or Show Time Placing Comments International Flags Date Place or Show Time Placing Comments

SHOW AND EXHIBITION RECORD Performance Showmanship Date Place or Show Ribbon/ Placing Comments Western Equitation Date Place or Show Ribbon/ Placing Comments English Equitation Date Place or Show Ribbon/ Placing Comments Bareback Equitation Date Place or Show Ribbon/ Placing Comments Trail Date Place or Show Ribbon/ Placing Comments

SHOW AND EXHIBITION RECORD Other Performance Showmanship Date Place or Show Ribbon/ Placing Comments Dressage Date Place or Show Ribbon/ Placing/Score Comments Showmanship Date Place or Show Ribbon/ Placing Comments Jumping Date Place or Show Ribbon/ Placing/Score Comments Showmanship Date Place or Show Ribbon/ Placing Comments Driving Date Place or Show Ribbon/ Placing/Score Comments

SHOW AND EXHIBITION RECORD All other shows non-4-h Date Place or Show Ribbon/ Placing Comments

Annual Total Project Expenses ENTRY FEES Training Lessons TACK Clothing FARRIER VETERINARY HAY GRAIN SUPPLIES Income MONTHLY TOTAL OCTOBER $ - NOVEMBER $ - DECEMBER $ - JANUARY $ - FEBRUARY $ - MARCH $ - APRIL $ - MAY $ - JUNE $ - JULY $ - AUGUST $ - SEPT $ - TOTAL COST $ - $ - $ - $ - $ - $ - $ -

COMMUNITY SERVICE PROJECTS: Include activities you participated in that benefited others. Date 4-H Other Where or for whom What I did: How this benefited my community: Date 4-H Other Where or for whom What I did: How this benefited my community: Date 4-H Other Where or for whom What I did: How this benefited my community: Date 4-H Other Where or for whom What I did: How this benefited my community: Date 4-H Other Where or for whom What I did: How this benefited my community:

Project Educational Activities INCLUDE CLINICS, SUPER SATURDAY, SEMINARS, TALKS, AND CAMPS; Events can be with or without your horse. Describe specific skills and/or knowledge learned. Date Location or Sponsor What was Learned

LEADERSHIP RESPONSIBILITIES OFFICES HELD, COMMITTEES, PEOPLE I HELPED, PROJECTS THAT I DID IN 4-H, SCHOOL, AND OTHER GROUPS. Describe each responsibility rather than just making a list. (If you have a leadership project you must have a separate section for that). For a full list of leadership activities please see list of Personal Development Skills and Leadership Skills listed in the horse Member Advancement Checklist. Date Description of What I Did 4-H PROMOTION IN THE COMMUNITY Include any activity done by the member individually or as a group where 4-H is showcased in the community (i.e. promoting 4-H at school or other non 4-H activity, teaching animal care to non-4-hers, sharing 4-H experiences for the purpose of education, recruitment, or promotion. Date Where What I Did

DEMONSTRATIONS AND CONTESTS PRESENTATIONS, DEMONSTRATIONS, AND EXHIBITS These are to be performed or participated in through 4-H, school, or other organization. Date Title of Presentation Where Recognition Received PROJECT CONTESTS These can be 4-H contests or activities such as groom squad, horsebowl, judging, hippology, and herdsmanship. Date Activity Where Recognition Received

GENERAL ACTIVITIES AND EVENTS 4-H ACTIVITIES AND EVENTS Include play days, parties, parades, other FUN noneducational activities. Date Activity Comments NON 4-H ACTIVITIES AND EVENTS List and describe activities, events, and programs that are not 4-H related. For example, school events such as sports and music programs would go here. Date Activity Comments

MY 4-H STORY Include your age, grade in school and what school attended, when and why you joined 4-H and how participation in 4-H has influenced your life. Should be written as a narrative (story). Feel free to add pages if necessary.

GUIDELINES FOR COMPLETION At the beginning of each year, leaders, members, and their parents should agree on completion requirements that will be used by the club. This is a list of suggestions for a successful year. Check off those requirements that you have met. Attend a majority of club meetings. Attend a majority of club project meetings/activities. Serve as a committee member and/or officer as well as other leadership endeavors. Do a demonstration/presentation. Keep a record book. Learn new skills and knowledge. Compete in horse shows. Work on a community service project. Participate in an out-of club activity such as camp or conference. Compete in an educational contest such as Horsebowl, Horse Judging, or Hippology, Impromptu or Groom Squad. Promote 4-H in the community. MOTTO To make the best better. EMBLEM A four-leaf clover with the letter H in each leaf. The H s stand for head, heart, hands, and health. COLORS Green and white PLEDGE I pledge my head to clearer thinking,; my heart to greater loyalty; my hands to larger service; and my health to better living; for my club, my community, my country, and my world.

TO MAKE THE BEST BETTER APPROVAL OF THIS REPORT BY PARENTS AND LEADERS We have reviewed this report, believe it to be true, and believe it to have been prepared by the 4-H member signing below. Member Date Parent Date Club Leader Date Committee Date Committee Date