Kansas 4 h immunization 2025

1. Click ‘Get Form’ to open the Kansas 4-H Immunization Record in the editor.
2. Begin by entering the 4-H member’s name, county/district, and year at the top of the form. Ensure all details are accurate for proper identification.
3. Fill in the mailing address, town, ZIP code, phone number, email, and emergency contact phone. This information is crucial for communication regarding your dog’s health.
4. Provide your dog's name, sex (select from options), predominant breed, height at shoulders, color/markings, and weight. If your dog has special health needs, document them in the designated section.
5. In Section A for required vaccinations administered by a veterinarian, input the dates given and expiration dates for rabies. Don’t forget to include the signature of the administering person and their contact information.
6. For Section B vaccinations that may be given by a veterinarian or another person (like Bordetella and Distemper), repeat the process of entering dates and signatures as needed.
7. Section C covers recommended vaccinations; fill these out similarly. Ensure all signatures are collected where necessary.
8. Finally, certify that all provided information is accurate by signing in both the 4-H member's and parent/guardian's signature fields.

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