Get Medical Information & Release Form - Georgia 4-h - Jekyll4h

Completing the Medical Information & Release Form for Georgia 4-H is a crucial step in ensuring your child's safety during the event or activity. This guide will provide you with clear, step-by-step instructions to navigate the form effectively.

Follow the steps to successfully complete the online form.

1. Press the ‘Get Form’ button to access the Medical Information & Release Form. This will enable you to open the document in your preferred editor.
2. Begin by entering the event or activity details, including the date. This section establishes the context for the form.
3. Provide information about the 4-H’er, including their full name, county, address, date of birth, current grade, gender, and cell phone number if applicable.
4. Fill out the parent or guardian's contact information. You should include their names, phone numbers, and cell phone numbers.
5. List two additional adults who may be contacted in case of an emergency, providing their names, phone numbers, and cell phone numbers.
6. In the medical information section, fill in the name and phone number of the 4-H’er's physician, along with the date of their last physical examination. Indicate any drug allergies and other allergies, and describe any recent illnesses or injuries, pre-existing conditions, and other relevant circumstances.
7. Review and understand the parent/guardian agreement. This section outlines the responsibilities and liabilities associated with your child's participation. Sign and date the agreement to indicate your consent.
8. Complete the insurance coverage information as necessary, as this section is required by county extension personnel.
9. List any medications currently being taken by the 4-H’er in the designated section. This includes both prescription and over-the-counter medications. Provide dosage instructions and any special instructions if necessary.
10. After completing all sections of the form, ensure all information is accurate. You can then save your changes, download, print, or share the form as needed.

Start filling out your Medical Information & Release Form online today to ensure your child's participation in the Georgia 4-H event.