Enrollment Forms

Basic 4-H Enrollment Form

PLEASE PRINT, FILL-OUT, AND RETURN ALL FORMS TO THE CORNELL COOPERATIVE EXTENSION OFFICE.  FORMS SHOULD BE MAILED OR EMAILED TO:

Carmen Hostetter
Cornell Cooperative Extension of St. Lawrence County
2043B SH 68
Canton, NY 13617
Fax: 315-379-0926
Email: crh248@cornell.edu

4-H Enrollment Form 2024-2025  - 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. The form is also used to change contact information when necessary. The 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.  The forms are also described below.

Enrollment Packet- Member Information- Required for all 4-H members and cloverbuds.

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 is going to be held on Friday, September 26th from 6:00-8:00pm.  We are planning to hold the event at the Roos Fitness Center at SUNY 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 the third Friday in September, by 4:30pm. 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!

Last updated April 18, 2025