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Kansas 4 h immunization 2026

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  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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4-H is a youth development program where adult volunteers provide positive, hands-on, fun and educational opportunities with youth age 5 to 19. This can take place in many different settings such as project clubs, community clubs, after school programs, camps, workshop or events.
4-H clubs are open to all young people who are residents of Kansas and between the ages of 7 and 19. Learn more about clubs in your area. The 4-H calendar year begins October 1 and concludes on September 30th. Youth who turn 7 before January 1 of the current 4-H year may enroll.
4‑H programs are available for youth and teens ages 8-18. 4‑H Cloverbud programs are available for youth ages 5-7.
BEEF STEERS 4-H youth must be a full member (age 8 as of January 1st of the current year or older) to participate in the 4-H Market Beef Programs. Youth participants raise a feeder steer for approximately 6-9 months and then show the animal at the Tioga County Fair.

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