Placer County 2022-2023 Enrollment - Credit Card option

Placer County 4-H 2022-2023 Enrollment by Credit Card option.

** If you are paying by check or cash, please pay your Community Club.

Please note: a $2.00 credit card processing fee will be included in your payment.

Fill in the information below to pay for your 4-H Enrollment fees with a credit card, on a secure online system.

Enrollment fees for 2022-2023 program year

Youth Member: $66.00 registration
Adult Volunteer: $28.00 registration
Credit card processing fee: $2.00/transaction

Don't forget to complete your enrollment on 4hOnline at: https://ca.4honline.com, if you have not already done so.

Please note:

* You will remain pending in the 4hOnline Enrollment System until we have received your fees.

For help or more information, contact the placer county 4-H Office at (530) 889-7386 or E-mail at: placer4h@ucanr.edu

Website: https://ucanr.edu/sites/placercounty4h/

✻ = Required

Choose your 4-H Club: ✻

E-Mail: ✻

Last Name ✻

First Name: ✻

Daytime Phone Number: ✻

List Name(s) of ALL Members you are enrolling: ✻

YOUTH MEMBERS

Please select the appropriate youth membership fee option below.

Youth membership fee: $66.00/member

$66.00 Quantity:

ADULT VOLUNTEERS

Please select the appropriate adult volunteer fee option below.

Adult Volunteer fee: $28.00/ member

$28.00 Quantity:

Credit Card Transaction Fee

This is a required charge for each transaction

Credit Card Transaction Fee: $2.00 ✻

$2.00 required charge

Invitation to Self-Identify Gender, Ethnicity, and Race. The following information is optional. It is confidential. It is requested to help us document that UC Cooperative Extension is extending services and benefits to everyone who is interested and does not discriminate.

What is your gender:

Female Male Gender identity not listed

What is your ethnicity:

African American (not of Hispanic origin) American Indian or Alaska Native Asian Caucasian Hispanic or Latino Native Hawaiian or other Pacific Islander Race not listed

The University of California Division of Agriculture & Natural Resources (UCANR) is an equal opportunity provider. (Complete nondiscrimination policy statement can be found at http://ucanr.edu/sites/anrstaff/files/215244.pdf)

Inquiries regarding ANR’s nondiscrimination policies may be directed to UCANR, Affirmative Action Compliance Officer, University of California, Agriculture and Natural Resources, 2801 Second Street, Davis, CA 95618, (530) 750-1343.