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2021-2022 4-H Enrollment Payment Form - Central Sierra

 

Fill in the information below to pay for 4-H enrollment(s) with a credit card, using UCANR's secure online system.

Please make sure you complete your 4-H Enrollment before submitting your payment.

If you are unable to pay your enrollment fees or need to request a reduced fee, please complete this form: http://ucanr.edu/2021-2022feewaiver

Please note:

If you would prefer to pay by check instead of by credit card, please make payable to UC Regents and mail to:

UC 4-H YDP, Central Sierra
311 Fair Lane
Placerville, CA  95667 

 

Payor Information
(Please do not use Auto-Fill)

4-H Enrollment Information

Youth Members

For Youth Members check the payment box and select the number of youth you are paying for.

If you are unable to pay your enrollment fees or need to request a reduced fee, please complete this form instead: http://ucanr.edu/2021-2022feewaiver

Quantity:  

Adult Volunteers

For Adult Volunteers check the payment box and select the number of adults you are paying for.

Quantity:  

Required Reading - Please check that your name appears below.

On the next screen you will begin the process for entering your credit card information.

If you are having trouble with the credit card processing, please see this Credit Card Processing Help Guide.

For verification that you are human, please enter the following code in the box below:
MDMPWH

(if the code is not entered correctly, the survey will not be submitted)