Enrollment Forms

The process for enrolling in 4-H involves filling out enrollment paperwork which includes an enrollment form, a parent permission/medical form, and an acknowledgment of risk form. The cost for enrolling in 4-H is $20 per family.


Current 4-H Families- Please read this letter for re-enrollment information. Re-enrollment forms will be sent or can be picked up at the office. Most re-enrollment forms are given to club leaders, and mailed to independent members. If you do not receive new re-erollment forms and were enrolled in 4-H the previos year, please contact Casey Caswell or Amy Sands at the 4-H office 315-379-9192.

ATTENTION: No new or re-enrollments will be accepted after June 1, 2019 for the 4H year. Any one not enrolled in 4H after this date will not be allowed too participate in 4H competitions.

Basic 4-H Forms


4-H Enrollment Form- 2018-2019 -A 4-H Enrollment Form needs to be completed when youth wish to join 4-H as well as each year they would like to re-enroll in 4-H. It is also used to change contact information when necessary. This form must be signed by both the 4-H member and their parent or guardian. Please be sure to complete all forms provided in the link above which will include the three listed below.

Parent Permission Medical Release -  Required for all 4-H members and cloverbuds.

4-H Member Acknowledgment of Risk Form – Required for all 4-H members and cloverbuds.

4-H Code of Conduct – Required for all 4-H members and cloverbuds.

4-H Achievement Certificates and Reports

The Year End Celebration will be October 27th 11am-1pm at Cornell Cooperative Extension in Canton. In preparation for this event as well as to wrap up the 4-H year, don't forget to fill out the Achievement Application and return to the Extension Office by October 5th, 3:30pm. The guidelines for which award to apply for can be found HERE

Furthermore, the new Achievement Report combines the application and a 4-H record report. Members can obtain this document now and are encouraged to use it to document their 4-H activities throughout the year. This can be a great tool as a 4-H Permanent Record/ Achievement Report that can be added to a binder year after year to document and preserve information that the 4-H member can then use later in life as a resource when writing college application letters, employment resumes and cover letters, and scholarship applications.

Get the 4-H Record and Achievement Report now!


Cassondra Caswell
Youth and Family Lead
315-379-9192 x235

Last updated September 10, 2018