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Name: (Print Last Name) (Print First Name) County (Name of county where your 4H Office is located.) YOUTH HEALTH INFORMATION & CONSENT FOR EMERGENCY TREATMENT University of Wisconsin Extension 4H
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Print last name refers to the family name or surname that appears at the end of a person's full name.
Any individual or entity that requires accurate identification of a person by their family name may request for the print last name to be filed.
To fill out print last name, simply write the last name or surname that a person goes by in the designated field or space provided.
The purpose of print last name is to ensure accurate identification and record-keeping of individuals based on their family name.
The information to be reported on print last name is the individual's family name or surname.
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