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 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- 2019-2020 -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 September 27th, 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
Health and Nutrition Team Leader, SNAP-Ed Program Manager
315-379-9192 x235

Last updated September 6, 2019