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2022 Dog Health Form Madison County 4H Child's Name: ___ Age as of January 1, 2021: ___ First Nameless Apparent/Guardian Name: ___ Phone Number: ___ Emergency Contact Name/Phone: ___ Name of Dog:
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How to fill out 4-h canine health form

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How to fill out 4-h canine health form

01
To fill out the 4-h canine health form, follow these steps:
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Start by providing your personal information such as your name, address, and contact details.
03
Next, provide information about your canine companion including their name, breed, age, and sex.
04
Specify the vaccination history of your dog by documenting the date and type of vaccines they have received.
05
Detail any injuries or surgeries your dog has undergone in the past, along with the dates of these events.
06
Describe any ongoing medical conditions or allergies that your dog may have.
07
If your dog is on any medication, list the names of the medications along with the dosage.
08
Provide your veterinarian's information including their name, clinic name, address, and contact details.
09
Finally, sign and date the form to certify the accuracy of the information provided.
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Ensure that all the information provided is accurate and up-to-date before submitting the form.

Who needs 4-h canine health form?

01
The 4-h canine health form is required for individuals who participate in 4-H canine programs or competitions.
02
This includes 4-H members who engage in activities related to dog ownership, training, and exhibiting.
03
The form serves as a record of the dog's health history and helps ensure the well-being of the canines involved in 4-H programs.
04
It is important for all participants to fill out this form to comply with the regulations and expectations set by 4-H organizations.
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The 4-H Canine Health Form is a document that provides important health information about a dog participating in 4-H activities and events.
Participants in 4-H dog programs are required to file the 4-H Canine Health Form for each dog they plan to show or work with in 4-H events.
To fill out the 4-H Canine Health Form, one must provide the dog's information, vaccination records, health status, and signatures from a veterinarian and the owner.
The purpose of the 4-H Canine Health Form is to ensure the health and safety of all participating dogs and to track their vaccination and health status.
The information that must be reported includes the dog's name, breed, age, owner's contact information, vaccination history, and any health issues.
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