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OFFICIAL 4-H HEALTH FORM Type of activity: Rev. 2010 DOUGLAS COUNTY/area state regional national (check one) Name of event/activity Participant's Name: Last First M.I. Address: Street Address

How to fill out official 4-h health form

How to fill out official 4-h health form:

1. Obtain an official 4-h health form from your local 4-H office or download it from the official 4-H website.
2. Fill in your personal information, including your name, address, phone number, and email address.
3. Provide your emergency contact information, including the name, phone number, and relationship of at least one emergency contact.
4. Indicate any medical conditions or allergies that you have by checking the appropriate boxes and providing additional details if necessary.
5. List any medications that you are currently taking, including the name, dosage, and frequency of each medication.
6. If applicable, fill in your medical insurance information, including the name of the insurance company, policy number, and contact information.
7. Sign and date the form to certify that the provided information is accurate and up to date.
8. Return the completed form to the designated person or office, as instructed by your local 4-H organization.

Who needs official 4-h health form:

1. Any individual who participates or plans to participate in 4-H programs, activities, or events may be required to fill out an official 4-H health form.
2. This includes 4-H members, volunteers, and staff.
3. The official 4-H health form is often necessary to ensure the safety and well-being of all participants and to be prepared for any potential medical emergencies.

For pdfFiller’s FAQs

What is official 4-h health form?

The official 4-H health form is a document used to collect information about the health and medical history of 4-H participants.

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

All 4-H participants are required to file the official 4-H health form.

How to fill out official 4-h health form?

To fill out the official 4-H health form, participants need to provide accurate information about their health, medical history, allergies, medications, and emergency contact details.

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

The purpose of the official 4-H health form is to ensure the safety and well-being of 4-H participants during events and activities, and to provide relevant health information to organizers and medical personnel.

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

The official 4-H health form typically requires information such as personal details, medical history, allergies, medications, emergency contact information, and consent for emergency medical treatment.

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