Get 4h 3039b Y

Filling out the 4h 3039b Y form online is an important step for participants in the Iowa 4-H program. This guide aims to provide clear instructions and support to ensure that you complete the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to obtain the form and access it in the online editor.
2. Begin with the participant information section where you will fill in the participant's name, permanent address, city, state, zip code, date of birth, and home phone number.
3. Move on to the medical emergency contact information section. Here, you will need to provide the name and relation of a primary contact person, as well as their daytime and evening phone numbers and email address.
4. Include the name of the participant’s family doctor and dentist, along with a backup contact's details, similarly filling in their name, relation, and contact information.
5. Next, address the insurance policy information. Indicate whether the participant has health insurance by selecting 'Yes' or 'No.' If 'Yes,' provide the required details of the policy holder.
6. In the health information section, check any applicable conditions that the participant has or has a history of. You will also document any allergies or reactions.
7. Provide information on any current medications the participant is taking and include the date of their last tetanus shot.
8. The following section requires the participant to read and acknowledge the behavior expectations, which must be signed and dated.
9. Then, the parent or guardian must read and sign the medical emergency parental permission section, ensuring they initial and date this part as well.
10. Continue to the publicity/image/voice permission section. If consent is provided, the guardian should initial indicating permission.
11. The transportation section follows. Grant permission for transportation as applicable by checking the appropriate boxes and initialing.
12. Read and sign the 4-H assumption of risk and release of liability statement. This requires the guardian's signature and date.
13. Finally, review all information for accuracy before saving your changes. You can now download, print, or share the completed form as needed.

Complete your documents online today for a smooth and efficient process.