Horse Project: Achievement Program Deadline: June 1

4-H Member instructions: Form must be filled out completely and in the local extension offices by the designated deadline for South Dakota 4-H Horse Show eligibility. 4-H Youth Program Advisor instructions: Verify form is filled out correctly and uploaded to 4-H Online. NO LATE OR INCOMPLETE FORMS WILL BE ACCEPTED.

Name______County______4-H ID ______Horse Activity Record

**All safe skills and Youth HORSE Training must be completed during current enrollment year** Youth must complete two safe skills listed below, they do not need to complete them all. Safe skills can be completed at any 4-H educational meeting or activity provided by a 4-H club, county, or state group. Event Coordinator Date Safe Skills OR Project Leader Signature Completed Catching and haltering a horse Pick up and clean a hoof Perform safe ground handling maneuvers Safe mounting Move from a walk to a trot, both directions of the arena Back your horse from the ground Lope (canter) in a small circle (30 feet), both directions Demonstrate direct reining & indirect reining Demonstrate forehand turn, both directions & hindquarter turn both directions Clean and check tack for repair

Youth must complete a Youth in Action event OR a talk/demonstration about Horse Education & Safety at an educational meeting or activity provided by a 4-H event in the club, county, or state. Talk/demonstration topics should vary from activities completed by the youth in previous section. Youth in Action Event OR Talk/Demonstration Event Coordinator Date Title & Description OR Project Leader Signature Completed

Youth Horse Training Leader Use ONLY: Activity Worksheet ______Training Activity Performed______Youth Horse Trainer______

4-H Youth & Guardian Use: We have reviewed the Youth HORSE Training information provided and understand the rules and responsibilities associated with participating in the South Dakota 4-H Horse Project.

Youth Signature______Date ______

Guardian Signature______Date ______

SDSU Extension is an equal opportunity provider and employer in accordance with the nondiscrimination policies of South Dakota State University, the South Dakota Board of Regents and the United States Department of Agriculture.