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OFFICIAL 4H HEALTH FORM Rev. 12015 County Type of activity: county/area state regional national (check one)Name of event/activity Participant's Name: LastFirstM. I. Address: Street Address CityStateZip
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How to fill out official 4-h health rev

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How to fill out official 4-h health formrev

01
Obtain the official 4-H health formrev from the 4-H organization.
02
Fill out the personal information section, including your name, address, date of birth, and contact details.
03
Provide information about your medical history, including any allergies, chronic conditions, or medications you are currently taking.
04
Indicate your emergency contact information, including the name and contact details of someone who can be reached in case of an emergency.
05
Fill out the insurance information section, including your insurance provider's name, policy number, and contact information.
06
Provide any additional information requested on the form, such as dietary restrictions or special accommodations needed for activities.
07
Review the completed form for accuracy and ensure all required fields are filled in.
08
Sign and date the form to certify that the information provided is true and accurate.
09
Submit the completed form to the appropriate 4-H representative or organizer.

Who needs official 4-h health formrev?

01
Any individual participating in 4-H activities or programs may need to fill out the official 4-H health formrev. This includes 4-H members, volunteers, staff, and participants in events or activities organized by the 4-H organization.

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Official 4-h health formrev is a form used by 4-H members to report their health information.
All 4-H members are required to file official 4-h health formrev.
Official 4-h health formrev can be filled out by providing accurate and up-to-date health information.
The purpose of official 4-h health formrev is to ensure the well-being and safety of 4-H members during activities and events.
Information such as medical conditions, allergies, medications, emergency contacts, and insurance details must be reported on official 4-h health formrev.
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