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PB730 North Dakota State University 4-H Health Form Name Last Birth Date / / First Age Month/Day/Year Parent or guardian Phone: Home () Office () Cell () Home address Number & Street City State Zip

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How to fill out nd 4-h health form

How to fill out the nd 4-h health form?

01

Obtain the nd 4-h health form from the appropriate source, such as the nd 4-h website or your local nd 4-h office.

02

Carefully read the instructions provided on the form to understand what information needs to be filled out.

03

Start by filling out the personal details section, including your name, address, contact information, and any other requested information.

04

Move on to the medical history section. Provide accurate and complete information about any medical conditions, allergies, medications, or previous injuries that may be relevant.

05

Fill out the emergency contact section. Ensure that you provide the name, relationship, and contact information of at least one emergency contact person who can be reached during the duration of the nd 4-h program.

06

If applicable, complete the insurance information section, providing the details of your health insurance coverage.

07

Review the completed form to ensure that all required fields have been filled out accurately. Make any necessary corrections or additions.

08

Sign and date the form to certify that the information provided is true and accurate.

09

Submit the completed nd 4-h health form as instructed. Keep a copy for your records.

Who needs nd 4-h health form?

01

Anyone participating in nd 4-h programs, events, or activities may be required to fill out the nd 4-h health form.

02

This form helps the nd 4-h organization ensure the health and safety of its participants by collecting necessary medical and emergency contact information.

03

Both participants and their legal guardians, if applicable, must complete and submit the nd 4-h health form.

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What is nd 4-h health form?

The nd 4-h health form is a document that participants of the 4-H program in North Dakota are required to complete to report their health information.

Who is required to file nd 4-h health form?

All participants of the 4-H program in North Dakota, including youth members, volunteers, and staff, are required to file the nd 4-h health form.

How to fill out nd 4-h health form?

To fill out the nd 4-h health form, participants need to provide their personal information, emergency contact details, medical history, and any medications or allergies they have. The form can be completed online or in paper format.

What is the purpose of nd 4-h health form?

The purpose of the nd 4-h health form is to gather important health information of participants in the 4-H program. This enables program organizers to be aware of any medical conditions or special needs and take appropriate measures to ensure the safety and well-being of the participants.

What information must be reported on nd 4-h health form?

The nd 4-h health form requires participants to report their personal information such as name, address, and date of birth. Additionally, they must provide emergency contact details, medical history, and any current medications or allergies they have.

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