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To All Parents: Please Read Carefully! This Section is to be Completed by a parent or guardian First Program Name and Location The Country School Gr8 S19 Moab, UT PARTICIPANTS Namesake Phone Date
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Gather all the necessary information and documents such as personal details, medical history, emergency contact information, insurance details, etc.
02
Start by entering your personal information such as name, address, date of birth, etc.
03
Provide accurate information about your medical history including any allergies, pre-existing conditions, medications you are currently taking, etc.
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Fill in the emergency contact section with the name, phone number, and relationship of the person to be contacted in case of an emergency.
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Who needs 19-20 louisiana 4-h medicalhealth?

01
Anyone who is participating in the 19-20 Louisiana 4-H program needs to fill out the 4-H Medical/Health form. This includes participants of all ages, both youth and adult.
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The 19-20 Louisiana 4-H Medical/Health form is a document used to collect medical information for 4-H participants in Louisiana for the 2019-2020 program year.
All 4-H participants in Louisiana for the 2019-2020 program year are required to file the 19-20 Louisiana 4-H Medical/Health form.
To fill out the 19-20 Louisiana 4-H Medical/Health form, participants need to provide information about their medical history, allergies, medications, emergency contacts, and insurance information.
The purpose of the 19-20 Louisiana 4-H Medical/Health form is to ensure the safety and well-being of 4-H participants during program activities.
Participants must report their medical history, allergies, medications, emergency contacts, and insurance information on the 19-20 Louisiana 4-H Medical/Health form.
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