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Get the free 4-H Health Form - extension oregonstate

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This document serves as a health and participation consent form for participants in the Oregon 4-H Youth Development Program, including emergency contact details and medical history, along with a
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How to fill out 4-h health form

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How to fill out 4-H Health Form

01
Begin by downloading the 4-H Health Form from the official 4-H website or request a printed copy from your 4-H leader.
02
Fill in the participant's personal information, including name, age, and contact details.
03
Indicate any medical conditions or allergies the participant may have.
04
Provide emergency contact information for parents or guardians.
05
Sign and date the form to confirm that the information is accurate.
06
Submit the completed form to your 4-H leader by the specified deadline.

Who needs 4-H Health Form?

01
All youth participants in 4-H programs and activities need to fill out the 4-H Health Form.
02
Parents or guardians of 4-H members must complete the form to ensure the health and safety of their children during events.
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Together the four H's symbolized the development of the head, to think, plan, and reason; the heart, to care for others, accept citizenship responsibilities and develop positive attitudes; the hands, to be useful, helpful, and skillful; and health, to practice healthful living, enjoy life, and use leisure time
The program's name comes from four guiding words in the national 4-H 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.”
What is the 4-H 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. Head stands for decision making, planning, organizing, problem solving and using knowledge throughout life.
4-H Motto and Pledge The 4-H Club 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."
Head, Heart, Hands and Health Head, Heart, Hands, and Health are the four Hs in 4‑H, and they are the four values members work on through fun and engaging programs. The pledge is available in English and Spanish.

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The 4-H Health Form is a standardized document used by 4-H programs to collect health-related information about youth participants, ensuring their safety and well-being during activities.
All youth participants in 4-H programs, especially those who will be participating in events or activities that may pose health risks, are required to file a 4-H Health Form.
To fill out the 4-H Health Form, participants should complete all required fields with accurate information related to health history, emergency contacts, allergies, medications, and any special needs.
The purpose of the 4-H Health Form is to ensure that program leaders are informed about participants' health needs and can provide appropriate care in case of emergencies or health-related situations.
The 4-H Health Form must report information such as personal health history, any current medications, allergies, emergency contacts, and specific health conditions that may require attention.
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